Regis University Resident Assistant and Peer Minister Reference Form

The purpose of this form is to assist Regis University in evaluating applicants for the Peer Minister (PM) and Resident Assistant (RA) positions. The primary responsibilities of a PM and RA are fostering community development among residents, administrative duties, program planning, and promotiong academic success. Characteristics such as approachability, accountability, care for others, and a positive attitude are crucial to the success of this position. We know that no one is perfect and your honest evaluation of the applicant serves as an important part of the selection and placement process. If you are unable to answer a question, please check or write "Not Applicable".

Please submit this Form by Sunday, February 5, 2017 by 11:59PM. If you have any questions, please contact Earl Lee.

Phone: (303) 964-3613

E-mail: elee003@regis.edu

Mail: RA/PM Committee Chair

3333 Regis Blvd., J-16

Denver, CO 80221

Reference Information

Reference First Name: *

Reference Last Name: *

Reference Email Address: *

May Regis University Residence Life and Housing contact you for further information and/or clarification? *

Yes

No

Are you a current Peer Minister or Resident Assistant at Regis University? *

Yes

No

Applicant Information

Applicant First Name: *

Applicant Last Name: *

How long have you known the applicant? *

In what capacity(ies) do you know the applicant? *

Character Traits of the Applicant

Check the top 5 characteristics you have observed in this applicant in your interactions. *

What impresses you about this applicant? Specifically, we would like to hear about the applicant's ability to demonstrate maturity, personal integrity, critical thinking, open communication, and understanding of diversity. *

0/175 words

What do you think might limit this applicant in a position of this nature? *

0/175 words

If the applicant is interested in the Peer Minister position, can you comment on their understanding of spirituality? Do you believe the client will be able to engage in conversation about different religions, faiths, and spirituality with their peers?

0/175 words

Do you recommend this applicant? *

Yes

Yes, with reservations

No

Certification

By completing this form and the electronic signature below, I certify that:

The information in this reference form is true and correct to the best of my knowledge. Submitting any false information could void my reference form and hinder the applicant in the hiring process.

*

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