Office of the Dean of the College of Arts and Sciences • Office of Admissions • Office of Residence Life and Housing • Office of Student Life
2011-2012 Student Leader Common Reference Form
Position(s) Applying for:
___ Admissions Host (Work Study) ___ Community Director
___ Admissions Host (Overnight) ___ Orientation Mentor
___ Community Assistant ___ Peer Advisor
TO THE APPLICANT: Please fill in the information below and provide this form to a reference in accordance with the directions of
Please check one of the following:
____ I waive any right of access that I may have to this recommendation form.
____ I do not waive any right of access that I may have to this recommendation form.
Applicant’s Name: __________________________________________________________________________________
Applicant’s Signature: ______________________________________ Date due back to Applicant: _________________
THIS FORM SHOULD BE GIVEN TO THE REFERENCE, COMPLETED BY THE REFERENCE, THEN RETURNED TO THE
APPLICANT IN A SIGNED/SEALED ENVELOPE. APPLICANTS SHOULD FOLLOW EACH POSITION APPLICATION
DIRECTIONS REGARDING TIMELINES TO ENSURE THEY GET THIS FORM RETURNED TO THEM IN A TIMELY
Name of Reference:
Department or Office:
I am a:
___ Faculty member
___ Ad Host
___ Other (please specify: __________________
TO THE PERSON COMPLETING THIS RECOMMENDATION: The University of Redlands sponsors several selected student
leadership positions including Admissions Host, Community Assistant, Community Director, Orientation Mentor, and Peer Advisor.
These positions are designed to provide students with an opportunity to serve their peers and the University through similar and
unique experiences. This year we are utilizing one ‘common’ form for all four of these positions to lessen the burden on you as a
reference and streamline the four processes. Please refer to the top of this form to see which position(s) the student is applying to and
keep that in mind when completing this reference. Please frankly state the merits of this applicant’s candidacy, any deficiencies, and
any other information that may be useful to the selection committee(s). Please submit your recommendation back to the student in a
sealed and signed envelope by the date indicated.
Please complete the following rating scale concerning the applicant’s abilities in these areas:
Excellent Good Fair Poor N/A
Ability to maintain
Ability to speak in
front of groups
Please answer the following questions to the best of your knowledge. You may submit a letter of reference that addresses the
following questions if you prefer.
1. For how long and in what capacity have you known the applicant?
2. What are the applicant’s strengths?
3. In what areas does the applicant have room for improvement?
4. In what ways have you seen the applicant foster community with others at the University of Redlands?
5. Please comment on the applicant’s ability to provide leadership and demonstrate sensitivity in dealing with diverse
groups of individuals.
*Please return your reference in a signed, sealed envelope to the applicant by the date cited at the top of this form.