Beloit College Learning Enrichment and Disability Services Learning Assistant General Reference Form
Applications should be completed by midnight, February 21, 2016 for priority review. References will be accepted after this deadline but student will not get full consideration until all applications materials have been received.

The student applicant was informed that this completed reference will not be shared with the student. Please be candid in your responses.

Name of person completing reference
Your answer
Position of person completing reference
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Mailing Address
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Phone Number
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Email
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Name of applicant (student name)
Your answer
Please rate the applicant on the following skills and characteristics
Effective study habits
Positive rapport with fellow students
Positive rapport with faculty and staff
Please provide specific examples in the additional comments section below.
Organizational skills
Presentation skills
Computer skills
Ability to communicate orally
Ability to communicate in writing
Ability to work independently
Ability to work as a part of a group or team
Please provide specific examples in the additional comments section below.
Initiative to develop new ideas
Responsiveness to constructive feedback
Please provide specific examples in the additional comments section below.
Dependabilty
Flexibilty
Ability to handle multiple, competing demands
Please provide specific information and examples that would highlight the student's ability in the areas of diplomacy, integrity, and confidence in his/her ability to interact with others.
Your answer
Please provide any additional comments or examples that would assist us in evaluating this applicant.
Your answer
How well do you know the applicant and in what capacities?
Your answer
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