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					January 3, 2011

Dear Community Advisor Candidate:

Thank you for your interest in applying for a Community Advisor position for the 2011-2012 academic year! Included
in this application packet you will find the following:
         University Village Mission Statement
         Selection Process Timeline
         Community Advisor Terms of Appointment (Job Description)
         Community Advisor 2011-2012 Application
         Professional Reference Form (1)
         Peer Reference Form (1)

Completed applications are due Friday, January 28 by 5:00pm. A completed application is to be submitted in a manila
envelope to the University Village front desk. The application packet must include the following:
      ____Terms of Appointment Signed
      ____Community Advisor 2011-2012 Application
      ____Cover Letter and Resume

Individual pieces (i.e. Cover Letter) will not be accepted. You must turn in the ENTIRE application, with the exception
of reference letters. Reference letters are to be faxed/sent in a closed and signed envelope no later than January 28
by 5:00pm. You must have the following references:
       ____Professional reference (1)
       ____Peer reference (1)

Please take the time to review the Terms of Appointment thoroughly so that you have an accurate understanding of
what it means to be a CA.

The compensation for the Community Advisor position includes a single occupancy room within a designated
apartment including electricity and gas, basic cable, and local phone for the period of appointment and a stipend of
$260.00 a month pre-tax.

If you have any questions about the application process or the Community Advisor position, please contact Lisa De La
Cruz, Residential Education Specialist, (909) 869-4159 or via email at ldelacruz@csupomona.edu or Alexandria Kelch,
Community Development Coordinator (909) 869-3234 or via email at aakelch@csupomona.edu. Good luck in the
process!

Sincerely,

Lisa De La Cruz                                                        Alexandria Kelch
Residential Education Specialist                                       Community Development Coordinator
               University Village Mission Statement

The University Village is a residential community for Cal Poly Pomona students provided by
Foundation Housing Service. The evolvement of the whole person is supported through a variety
of educational methods including role modeling, consistency in policy implementation, and
positive student development practices. As a unit of the Cal Poly Pomona Foundation, Inc.,
Foundation Housing Service will assist in its overall mission of providing the highest level of service
and financial support to the University in a businesslike, professional manner while maintaining
corporate fiscal integrity. Foundation Housing Service will strive to create an environment where
all residents feel physically and psychologically safe as they learn, work, and play; and will
promote a community where each person's race, ethnic identity, age, marital status, religious
affiliation, gender, physical disability, and sexual orientation is cause for appreciation and learning,
and against whom will not be discriminated.

Foundation Housing Service strives to offer valuable, clean, well-maintained, and furnished
accommodations to every resident. We will promote community involvement by encouraging
students to have living units where governance, community standards, and creative problem
solving are at their core. A skilled professional and para-professional staff will provide
comprehensive residential and co-curricular educational programs. Through these methods, a
multi-cultural residential community will be nurtured and maintained.

Foundation Housing Service will seek mutually beneficial relationships, both internal and external
to the University Community. From these relationships, we will guide and promote to our
residents the ideals of leadership, ethics, exploration of personal values, and appreciation of the
richness and opportunities inherent in a multi-cultural world. Through these efforts, Foundation
Housing Service will strive to distinguish itself as a student housing program with a unique capacity
to adapt to changing times, while preserving a tradition of educational excellence.
                      Community Advisor Selection Process Timeline Winter 2011


Applications Available                      Monday, January 3, 2011              8:00pm                Recreation Center, University


Information Session 1                      Tuesday, January 4, 2011 ............. 8:00pm.................. Recreation Center, University


Information Session 2                      Tuesday, January 11, 2011 ........... 8:00pm.................. Recreation Center, University


Information Session 3                      Tuesday, January 18, 2011 ........... 8:00pm.................. Recreation Center, University
Resume Workshop                            Tuesday, January 18, 2011 ........... 8:00pm ...... Community Center, University Village


Applications Due                            Friday, January 28, 2011          5:00pm          Community Center, University Village


Notification of Paper Cut Applications Friday, February 4, 2011                  5:00pm                                     Via E-mail


Group Process                               Saturday, February 12, 2011 ....... 9:00-12:00pm ........................ Community Center


Individual Interviews                    Friday, February 11, 2011............. 1:00-5:00pm .......................... Community Center
Individual Interviews                    Saturday, February 12, 2011 ........ 1:00-5:00pm .......................... Community Center
*You will be signed up for a 1-hour interview


Notification letters pick up              Friday, March 4, 2011................... Noon ........ Community Center, University Village
*If you are not able to pick your letter up, it will be mailed to you on Monday, March 7, 2011)


Acceptance notification due                 Friday, March 18, 2011 ................ Noon ........ Community Center, University Village
                            Community Advisor Terms of Appointment
                           Cal Poly Pomona Foundation Housing Service
                                           2011-2012
The Community Advisor is responsible for the overall supervision of a sub-community of 48-64 residents.
As a member of the Foundation Housing Service Residential Education staff, the Community Advisor (CA)
works to foster the development of community as well as the efficient administration of the management
processes and procedures. The primary responsibility is to serve as a facilitator for community and to
enhance the learning and development of each resident. In order to perform the responsibilities of a CA,
the following is required: knowledge of department and University information; knowledge and
understanding of human behaviors; and skills in academic advising, communication, decision making,
leadership and citizenship, management, and teamwork. As community builders, CAs are expected to
create a safe, welcoming, and supportive living environment. The CA must possess well-developed
interpersonal skills, a genuine interest in working with a wide variety of people, and an ability to perform in
an organized and responsible manner in often-stressful circumstances. The CAs play a key role as the
“front line” staff and have the responsibility to act as administrators, organizers, advisors, disciplinarians,
programmers, and community builders, while remaining successful as students. The CA is responsible to
the supervising Residential Education Coordinator. Time commitments vary from week to week and from
one part of the quarter to another. Flexibility is necessary to offer services when needed.

1) ACADEMIC RESPONSIBLITIES
   a) Be an academically successful student in good standing with your academic department.
   b) Maintain a minimum overall cumulative and quarterly grade point average of 2.5 or the
      appointment may be terminated.
   c) CAs must carry at least 12 units per quarter (8 units for graduate students), in order to maintain
      status as a full time student. CAs may not carry more than 16 units per quarter unless receiving
      prior permission from the Residential Education Specialist (RES).
   d) Role model, encourage positive academic behaviors, and help students to create an environment
      that is conducive to studying by reinforcing quiet hours and encouraging students to actively talk
      with one another concerning courtesy/quiet hours.
   e) Ensure that all of your academic information is current and accurate.

2) COMMUNITY RESPONSIBILITIES
   a) CAs are expected to work an average of 20 hours per week. A reasonable schedule for this work
      will be determined through negotiation with the immediate supervisor and will include regularly
      scheduled responsibilities (i.e., staff meetings, student advising, supervisory meetings, etc.) and
      availability time (i.e., being on duty, responding to emergency situations, etc.).
   b) Respect the confidential nature of student records and communications. This includes only sharing
      confidential information with fellow CA staff members when necessary and in an appropriate
      setting.
   c) Visibility and availability to residents are priorities. You are expected to be available in the Village a
      minimum of 3-4 nights/week. Plans to be away from the Village for a significant time period (3-4
      days) must be communicated to your direct Coordinator and the on-call Coordinator. A significant
      number of CA staff members must be available and sleep in their apartments on the property every
      night.
   d) CAs will actively support the philosophies of the Foundation Housing Service Mission Statement,
      will facilitate the growth and development of all residents, will respect all residents and support
      appreciation of diversity, and will maintain a healthy community environment.
   e) Ensure that all residents are aware of all aspects of the License Agreement and what policies are to
      be followed.
    f) Any extra employment, student teaching/internship, or other responsibilities taking the CA out of
       the community for over 10 hours a week, must first be approved by your Coordinator, in
       consultation with the Residential Education Specialist. No Community Advisor may hold a
       presidency position.
    g) Hold at least one Community Living Agreement (CLA) meeting per apartment within the first month
       of the academic year, and as needed as new residents move in.
    h) Assist students with personal, social, and academic concerns.
    i) Maintain a welcoming environment for all residents by providing door decorations on a quarterly
       basis and facilitating the development of a combination of informational, educational, and
       entertaining passive programs at least three times per quarter in conjunction with your small staff
       team.
    j) Provide facilitation of passive and active programs according to the Residential Education
       programming requirements.
    k) Role model and encourage respect for individual differences.

3) CONDUCT RESPONSIBILITIES
   a) Actively intervene in and document all policy violations even when you are not on duty. Provide
      accurate written information about all community disruptions within 8 hours of the incident
      through the StarRez system.
   b) Abide by and enforce University Village, Foundation, and University policies. Demonstrate
      exemplary behavior and follow all departmental, Foundation, and university policies.
   c) Have a clear understanding of the judicial process in order to articulate procedures to Village
      Residents.

4) LEADERSHIP RESPONSIBILITIES
   a) Be familiar with campus and community services.
   b) Respond to crisis and emergencies and serve as a resource/referral agent, even when you are not
      on duty.
   c) Be aware and identify individual concerns or conflicts, and discuss these behaviors with the
      resident(s) and your Coordinator during your weekly one on one meeting to remedy this situation.
   d) Help residents resolve personal concerns, especially in regard to relationships, interpersonal skills,
      and academic problems. Talk with your Coordinator about your plans to assist residents.
   e) Follow up with residents within one week of your meeting.
   f) Help residents in their academic pursuits through individual attention, sharing information,
      teaching academic skills, and offering educational programming.
   g) Help students develop social, academic, and interpersonal skills by promoting student involvement
      and leadership within the residential community, Foundation, and the University. Role model
      integrity-based decision making skills.
   h) Create links between academic development and student development by using the programming
      model.
   i) You are required to participate in all Residential Education activities, such as Southern RAP,
      trainings and staff developments, as well as all meetings.

5) MANAGEMENT RESPONSIBILITIES
   a) Actively participate in all Village openings, closings, and transfer periods throughout the year,
      including break times (winter and spring breaks).
   b) Actively participate in all Village selection and licensing processes, and other special days that occur
      in the Village throughout the year, including weekends.
   c) Ensure distribution, completion, and collection of all survey and assessment instruments, used by
      Foundation Housing Service
    d) Complete all tasks as assigned by the Residential Education Team and/or by Operations or the
       Director of Housing within designated deadlines.
    e) Post all fliers and information given to you from any FHS staff member within the designated
       timelines provided. Assist other team members as necessary to ensure the timely posting in all
       communities.
    f) Ensure prompt and accurate delivery of all letters. All departmental correspondence is time
       sensitive so accurate and timely delivery is essential.
    g) Complete Quarterly Health and Safety inspections in all of your apartments. A Residential
       Education Coordinator will accompany you during each health and safety inspection.

6) TEAM MEMBER RESPONSIBILITIES
   a) Actively participate in all training sessions and model a positive attitude.
   b) Actively participate in all meetings as assigned by your Coordinator.
   c) CAs are strongly encouraged to participate in departmental committees.
   d) Actively promote positive working relationships with staff, which includes modeling open and
      direct communication and constructively addressing/resolving issues or concerns. You are
      expected to confront your peers in private if you have a concern or frustration. Seek advice from
      the Residential Education Coordinators and follow up once these conversations are done.
   e) Perform other duties as assigned by your direct Coordinator, any of the Residential Education
      Coordinators, the Residential Education Specialist, Associate Director, or the Director of Housing.

7) DEPARTMENTAL RESPONSIBILITIES
   a) Properly use all University Village keys. Loss of keys may result in payment of a minimum of
      $200.00 for replacement and consequent re-coring of locks. Misuse of the master keys may
      subject a staff member to termination and/or criminal prosecution. If you misplace any of your
      Village issued keys you must call the Coordinator on duty immediately to report the loss. You
      will face a more severe sanction if you fail to immediately report the loss of any Village issued
      key. MASTER KEYS ARE NEVER TO BE TAKEN HOME.
   b) Properly use the on-duty cell phone. Loss of the cell phone will result in payment of a minimum of
      $100.00 for the replacement.
   c) If you damage or lose a departmental flashlight, you will replace the flashlight with the same brand
      and type of flashlight damaged or lost.
   d) Follow all reapplication guidelines if interested in a paraprofessional position for 2012-2013.
   e) Participate in the tour schedule for potential residents to view an entire apartment. Ensure that
      your roommates know when your apartment will be shown and keep every room neat and orderly
      during your tour dates.
   f) You must be present for All Staff Meetings every Tuesday at 9:00pm
   g) CAs will work two hours a month in the Main Office during regular business hours. These hours will
      be determined at the start of each quarter.

8) PARAPROFESSIONAL TIMELINES
   a) Active participation in all training sessions is required. All training sessions are mandatory and a
      condition of your appointment. Trainings include, but are not limited to:
             Fall Training: Tuesday, September 6, 2011-Wednesday, September 21, 2011
   b) Monthly In-Service training sessions throughout the academic year. Active participation in In-
      Service training sessions are mandatory. You will only be excused for pre-approved class conflicts.
   c) Complete Residential Education CA track for Student Development Leadership Institute (SDLI) as
      described during Fall Training.
   d) For a more complete list of dates you should plan for, see the timeline at the end of this document.
      Please note that things will arise throughout the year that will require you to help out or work. We
      appreciate your flexibility in these situations.
9) ON DUTY RESPONSIBILITIES
   a) Be on-duty and present on the property (includes office duty, remaining on the premises, and
      being available by cell phone) on designated evenings and weekends.
   b) Work from 4:30-5:00 pm in the Community Center main office as part of your duty shift. Work
      with the office staff to transition operations for the evening to the CA office. CA office hours are in
      the Recreation Center Monday through Thursday 5:00 pm-10:00 pm, Friday from 5:00-7:00 p.m.
      and Saturday and Sunday 2:00 pm-7:00 pm (subject to change with written notice from RES)
   c) Walk around every side of every building during your duty rounds. Duty rounds are done at 7:00
      pm and 10:00 pm every weeknight with an additional set of rounds done on Thursday night, Friday
      night and Saturday night at 1:00 am. Rounds are also done on Saturday and Sunday at 2:00 p.m.
      You should meet your duty partners at the Community Center for the start of rounds and end
      rounds at the Community Center. You are required to come into the Community
      Center/Recreation Center and document your rounds in the duty log and fill out any incident
      reports.
   d) Confront and document residents who are in violation of Foundation Housing Service License
      Agreement, Village Handbook, Foundation, or University policies. Documentation should be listed
      in the duty log, and if necessary on an Informational Report.
   e) Respond to and manage crises and/or emergencies that may occur in the Village.
   f) Participate in staff rotation during break periods in the Village; this includes Winter and Spring
      breaks as well as campus holidays.

10) PROGRAMMING
    a) Perform regular outreach into the sub-community or area, meeting and interacting with residents
       on a regular basis.
    b) Actively participate in quarterly programming requirements outlined by the Residential Education
       Team.
    c) Participate in and attend staff programs.
    d) Submit programming reports on time to your Coordinator.
    e) Work with your Coordinator to establish goals and plans for programs each quarter.
    f) Submit program dates and information when requested for weekly, monthly, and quarterly
       calendars.
    g) All receipts must be turned in to the Assistant Director, Operations in person within 48 hours of the
       expenditure. A copy of the receipt(s) must be turned into your Coordinator at that same time.

11) EDUCATIONAL COMMUNITY DEVELOPMENT
    a) Role model and encourage mutual respect, communication, and cooperation between residents,
       apartment members, student staff, and Village staff. Role modeling includes keeping your
       apartment at standards where all students would feel comfortable in your space.
    b) Assist students in developing community standards for their individual apartment communities.
    c) Work with residents to develop conditions conducive to personal privacy, quiet study times, and
       academic endeavors.
    d) Facilitate timely and appropriate educational interventions through dialogue, mediation and
       documentation of inappropriate behaviors and attitudes.
    e) Maintain a clean and orderly apartment. Work with your roommates to keep all areas of the
       apartment clean and welcoming for guests and tour guests

12) INDIVIDUAL ADVISING
    a) Serve as initial source of support for students who are experiencing personal and/or academic
       concerns.
    b) Act as a referral source of such offices as Counseling and Psychological Services, Student Health
       Services, the Career Center, Parking Services, University Police Department, the Violence
       Prevention & Women’s Resource Center, Cultural Centers, etc.
    c) Meet with residents to resolve roommate conflicts and other personal issues. Keep the Residential
       Education Team apprised of all roommate conflicts and disciplinary problems within the area of
       responsibility.

13) ADMINISTRATION
    a) Ensure that students and staff are aware of Village, Foundation, and University policies and
       regulations relating to fire and safety through orientation programs and written notification.
       Follow up appropriately on any safety or security concerns by immediately reporting them to
       appropriate individuals.
    b) Encourage staff and students to cooperate with facilities and office staff.
    c) Administer room and mailbox keys, including issuance, maintenance of accurate records, and
       timely accounting for replacement keys.
    d) Perform routine Operations functions accurately and in a timely fashion, including: check-ins and
       check-outs; transfers; providing customer services for students and University guests.
    e) Check voicemail and email daily, return messages daily, and check CA office in-box daily.
    f) Administer departmental assessment tools (i.e. surveys of our students, the opinion meter etc.).
    g) Complete all tasks assigned by the Residential Education Team, Assistant Directors, or Director of
       Housing.
    h) Report facilities concerns by submitting work orders.
    i) Complete all necessary paperwork including, but not limited to, quarterly reports and evaluations.

14) PUBLIC RELATIONS
    a) Be supportive and work towards the goals and objectives of Foundation Housing Service, Cal Poly
       Pomona Foundation and the University.
    b) Serve as a role model by becoming familiar with and adhering to the Foundation Housing Service
       License Agreement, Village Handbook, and University policies and regulations.
    c) Actively participate in various staff selection processes through Foundation Housing Service.

15) AVAILABLITY
    a) Be in the community and sleep in the provided accommodations most evenings. We need at least
       half the staff on property each night.
    b) Answer your home phone every time it rings and you are there. You are required to have voicemail
       on this line with an appropriate message identifying yourself as the CA for your community. The
       phone line provided to you is not to be shared with anyone else.
    c) Be visible in your community by visiting each apartment on a weekly basis.

16) ORGANIZATIONAL RELATIONSHIPS
   a) Report to your assigned Coordinator for direct supervision and all other Coordinators as needed.
   b) Develop a positive working relationship with all other employees of Foundation Housing Services,
      including but not limited to the Director of Housing; Associate Director; Residential Education
      Specialist; other Residential Education Coordinators, Facilities Manager; and student assistant staff
      members.
   c) Serve as a liaison with Foundation Housing Service and other University and Foundation personnel
      such as University Police, etc.
COMPENSATION: Community Advisors will receive a single occupancy room within an apartment,
including electricity and gas for the period of the appointment, and a stipend of $260.00 per month (prior
to taxes). Please note that the compensation package may affect financial aid.

The CA position is not a guarantee. Your performance will be evaluated and up for renewal each quarter. If
you fail to meet minimum requirements, then you will be asked to step down from your position. This will
mean that you will have to move out of your apartment. You may continue to live in the University Village
provided that space exists and that the reason/s for termination did not involve a violation of policies.
Decisions related to continued residency will be made by the Director of Housing/designee on an individual
basis.

I ______________________________________________, grant Foundation Housing Service permission to
photograph me, without compensation. I further give FHS the right to use, copy, reduce, exhibit, publish,
and/or distribute these images. I understand that uses may include, but are not limited to photographs,
videotapes, Internet sites, or other types of promotional or educational mediums in existence now or in the
future. I additionally consent to the use my name in connection with the use of images of me. This
permission is granted in perpetuity.

All Foundation employees are at-will employees, whose appointments may be terminated without cause at
any time. Failure to perform in accordance with the stated responsibilities of these Community Advisor
Terms of Appointment may result in termination of employment. If dismissed from the position,
compensation for room will cease according to a pro-rated schedule. All regular FHS contract terms apply.

I have read and understand the responsibilities of this CA terms of appointment. I agree to fulfill the
aforementioned responsibilities.

           Appointment: Tuesday, September 6, 2011-8:00 am - Friday, June 15, 2012-5:00 pm



 _______________________________
Community Advisor Candidate                                        Bronco ID Number       Date



 _______________________________
Community Development Coordinator                                  Residential Education Specialist
                  2011-2012 Community Advisor Application
Please complete this application in its entirety. Please attach your cover letter and resume with this application. For
assistance with your resume, please contact the Career Center at 909-869-2344 or check out their website at
http://www.csupomona.edu/~career/. Completed application with attached cover letter and resume must be
returned to the Community Center in the Village. References are also due at this time. Incomplete applications will not
be considered. If you have questions regarding this application, please contact Residential Education Specialist, Lisa De
La Cruz, at 909-869-4159 or through email at ldelacruz@csupomona.edu. You can also contact Alexandria Kelch,
Community Development Coordinator, at 909-869-3234 or email at aakelch@csupomona.edu.


                                               Personal Information
Name: _______________________________________           _________________________                   ____________
                            Last                                   First                               Middle
Cal Poly Pomona ID # (Bronco ID #):______________________________________
Current Address: ____________________________________________              Phone: __________________________
Permanent Address: _________________________________________               Cell phone:________________________
Summer Address: ___________________________________________                Phone:___________________________
Cal Poly Pomona E-mail Address: __________________________________________________________________
Alternate Email Address: _________________________________________________________________________
Birth date: ______________ Year in School:        _______________ Major:__________________________________
Cumulative GPA: ______________________           Credit Hours Completed by Fall 2010: ________________________
When do you anticipate leaving/graduating from Cal Poly Pomona? (mo/yr) ______________________________
Please list all colleges attended:
Institution                          From/To                           Major                          Degree/Class
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
                                       Community Living Experience
# of quarters attended Cal Poly Pomona: ___________ # of quarters lived in Village:
_____________________________________________ ______________________________
# of quarters lived in residence halls/suites/Regenerative Studies: _____

                                       Additional Time Commitments
The Community Advisor position is considered on average to be a 20 hour per week employment opportunity.
Please list any other time commitments you would like to have, other than the Community Advisor position, for the
2011-2012 academic year.
                           Activity                                   Time Commitment (hours per week)
____________________________________                          ___________________________________
____________________________________________                   __________________________________________

**Please note we are only accepting applications for the 2011-2012 Academic Year. Summer Staff positions will be
posted at a later time. Check your Village Facebook Page or the Foundation Employment website for more information
on Summer Staff Positions.
                             How Did You Hear about the Position?
________________________________________________________________________________________________
________________________________________________________________________________________________
If you were referred by a CA, who was it? __________________________________
                               Short Answer Section - All Applicants
                  Please type your answers separately and attach to your application
            ** Please make sure to answer each question and try to keep each response to half a page**

1. Tell us about yourself and why you are interested in the Community Advisor position.
2. How do you educate yourself about those who are different from you? How might you educate those around you
   about diversity issues?
3. As a CA, you will have to make tough decisions. Describe an occasion when you had to make a difficult decision.
   How did you make the decision? What were the results?
4. As a CA, you will have approximately sixty-four residents. How will you get to know your residents? How will you
   help them get to know one another? Additionally, would you be willing to work in Co-Ed housing? Why or why
   not?
5. Please describe the relationship you believe CAs should have with the other units in the Department (Maintenance
   and Operations). How will you as a CA foster those roles?
6. Please describe any other time commitments from the list on the previous page. Explain how you plan to balance
   your academic commitments, extracurricular activities, and this position. Please note that we value extra-
   curricular activity, but expect our staff team to prioritize their time in this way: school, CA position, other
   activities. Outside activities are limited to 10 hrs. per week and no President positions are to be held.


                                 Professional and Peer References
Along with your completed application packet, each candidate is responsible for securing one professional reference
and one peer reference. Please list those people you have given your reference forms to in the space below.
References should be given to those who are aware of your ability to fulfill the requirements of the position for which
you are applying. References MUST be turned in via fax at (909) 869-4155 or in a sealed envelope with signature on
the back of the envelope. References must be completed and received at the Village Office no later than Friday,
January 28, 2011 at 5:00 p.m..
                   Name                                     Title                                Phone
______________________________                  _____________________               _____________________
____________________________________             _________________________           ________________________


                                      Use of Personal Photograph
To assist the Foundation Housing Service in this application process and facilitate the development of future
marketing and recruitment strategies, we are asking for your permission to take photographs of you throughout this
application process. By signing below, you are giving the Foundation Housing Service permission to take pictures of
you throughout the application process.
                                                    Signature
I certify that the information given on this application is complete and correct to the best of my knowledge and if the
information found herein is found to be incorrect, my status as an employee may be terminated. Additionally, I
authorize Foundation Housing Service to check my grade point average to determine my eligibility for this position.
_______________________________________ ______________________ ________________
Signature                                                 Printed Name                       Date

                     The Cal Poly Pomona Foundation, Inc. is committed to a diverse workforce.
                    It is an Affirmative Action Employer and it is an Equal Opportunity Employer.
                                     Professional Reference Form
          *Must be submitted via fax or in a sealed/signed envelope
  (Employer, Professional Housing Staff Member, Faculty, Student Organization Advisor, etc. NOT a fellow student.)

Please return this reference form to the Village Community Center, c/o Alexandria Kelch, 3400
Poly Vista, Bldg. 300, Pomona, CA 91768 by. Faxes may be received at (909)869-4155.

Reference For: _______________________________________________________________________
                                               Candidate's Name (please type or print)

                                                Information

This candidate is in the process of applying for the opportunity to be a Community Advisor with Foundation
Housing Service at Cal Poly Pomona Foundation Inc. Below is a description of the Community Advisor staff
position.

The University Village employs up to twenty four Community Advisors (CAs). Working closely with full time
professional staff and graduate student staff, CAs are responsible for the overall supervision of a sub-
community of 48 to 64 residents. As a member of the Foundation Housing Service Residence Life staff, the
CAs works to develop a community in their sub community and work to effectively manage processes and
procedures in their community. The CA must have well-developed interpersonal skills, a genuine interest in
working with a wide variety of people, and an ability to perform in an organized and responsible manner in
often stressful circumstances. The CA plays a key role in the University Village Apartments. CAs are the
“front line” staff and have the responsibility to act as administrators, organizers, advisors, confronters,
programmers, and community builders, while remaining successful as students.

                                              Candidate Waiver

To the Evaluator: If the candidate has waived his/her right to review this document, then all of
the information contained within this document will be kept confidential.

To the Candidate:
      I hereby waive the right to review this document which is to be included in my file; the
      information contained herein will be kept confidential.
      I do not waive my right to review this document at a further date.

_____________________________________________                            _________________________________
                     Signature of Applicant                                                    Date
                                   Reference Writer Information
                                                Please type or print

Name __________________________________                     Street Address _____________________________

Organization: ___________________________                   City/State/Zip: _____________________________

Official Position: _________________________                Telephone: ________________________________

Email Address: __________________________                   How long have you known this applicant? _______

                                                   Reference

Please evaluate this candidate in terms of performance you have directly observed. Place a check
(√) in the appropriate box below.
                                                            Above           Below               Not
                                                 Excellent Average Average Average     Poor   Observed
Leadership Abilities
Responsibility/Dependability
Planning & Preparation Skills
Communication Skills
Concern/Sensitivity to Others
Positive Attitude
Perceptiveness
Emotional Maturity
Enthusiasm
Rapport with Students
Involvement with Extracurricular Activities
Response to Criticism
Ability to Balance Academics, Work &
Social Life
Critical Thinking Skills / Ability to Analyze
Situations

In what capacity have you known this applicant (include reference to any specific living environment or
other group related work in which you have observed him/her)? Please include any other comments that
you believe would be helpful as the search committee considers this candidate's application. Please feel
free to add additional pages if necessary. Thank you.

RECOMMENDATION:
_______Highly Recommend                                         ________Recommend with Reservations
_______Recommend                                                ________Do Not Recommend


_____________________________________________                          _________________________________
          Signature of Reference Writer                                               Date
                                              Peer Reference Form
          *Must be submitted via fax or in a sealed/signed envelope
  (Employer, Professional Housing Staff Member, Faculty, Student Organization Advisor, etc. NOT a fellow student.)

Please return this reference form to the Village Community Center, c/o Alexandria Kelch, 3400
Poly Vista, Bldg. 300, Pomona, CA 91768 by. Faxes may be received at (909)869-4155.

Reference For: _______________________________________________________________________
                                               Candidate's Name (please type or print)


                                                 Information

This candidate is in the process of applying for the opportunity to be a Community Advisor with Foundation
Housing Service at Cal Poly Pomona Foundation Inc. Below is a description of the Community Advisor staff
position.

The University Village employs up to twenty four Community Advisors (CAs). Working closely with full time
professional staff and graduate student staff, CAs are responsible for the overall supervision of a sub-
community of 45 to 120 residents. As a member of the Foundation Housing Service Residence Life staff,
the CA works to develop community in their sub-community and also works to effectively manage
processes and procedures in their community. The CA must have well-developed interpersonal skills, a
genuine interest in working with a wide variety of people, and an ability to perform in an organized and
responsible manner in often stressful circumstances. The CA plays a key role in the University Village
Apartments. CAs are the “front line” staff and have the responsibility to act as administrators, organizers,
advisors, confronters, programmers, and community builders, while remaining successful as students.


                                              Candidate Waiver

To the Evaluator: If the candidate has waived his/her right to review this document, then all of
the information contained within this document will be kept confidential.

To the Candidate:
      I hereby waive the right to review this document which is to be included in my file; the
      information contained herein will be kept confidential.
      I do not waive my right to review this document at a further date.


_____________________________________________                            _________________________________
                     Signature of Applicant                                                    Date
                                   Reference Writer Information
                                                Please type or print


Name __________________________________                     Street Address _____________________________

Organization: ___________________________                   City/State/Zip: _____________________________

Official Position: _________________________                Telephone: ________________________________

Email Address: __________________________                   How long have you known this applicant? _______

                                                 Reference
Please evaluate this candidate in terms of performance you have directly observed. Place a check
(√) in the appropriate box below.
                                                            Above           Below               Not
                                                 Excellent Average Average Average     Poor   Observed
Leadership Abilities
Responsibility/Dependability
Planning & Preparation Skills
Communication Skills
Concern/Sensitivity to Others
Positive Attitude
Perceptiveness
Emotional Maturity
Enthusiasm
Rapport with Students
Involvement with Extracurricular Activities
Response to Criticism
Ability to Balance Academics, Work &
Social Life
Critical Thinking Skills / Ability to Analyze
Situations

In what capacity have you known this applicant (include reference to any specific living environment or
other group related work in which you have observed him/her)? Please include any other comments that
you believe would be helpful as the search committee considers this candidate's application. Please feel
free to add additional pages if necessary. Thank you.
RECOMMENDATION:
______Highly Recommend                                            ______Recommend with Reservations
______Recommend                                                   ______Do Not Recommend

_____________________________________________                          _________________________________
                 Signature of Reference Writer                                        Date