Resident Adviser Reference Form University Housing, Coastal Carolina University

Resident Adviser Reference Form
University Housing, Coastal Carolina University
TO:
Reference Position
Name of Reference
Date
FROM:
Name of Applicant
I am applying for a Resident Adviser position with the University Housing Department at Coastal Carolina University. The ideal RA candidate
must have well developed interpersonal skills, a genuine interest in working with a variety of people to develop community, time and stress
management skills, and an ability to perform in an organized and responsible manner.
References should be chosen who can provide a comprehensive evaluation of your abilities and qualifications.
All Reference Forms must be submitted to the University Housing Office Suite in Tradition Hall. The Office Suite is open from 8:30am-5:00pm
Monday-Friday. It is the responsibility of the applicant to make sure this form is submitted by the due date listed in the RA Application. Late
forms will not be accepted. If you have questions about this form, please contact Stephen Swieton at [email protected].
Please indicate your relationship to the applicant (Please note, family members cannot be used as references):
Current Supervisor/Employer
CCU Faculty/Staff Member
Non CCU Faculty/Staff Member
Resident Adviser
Other – Specify:____________________
Please support your ratings with written comments, providing specific examples of behavior/accomplishments.
Ratings:
1 = Poor
2 = Marginal
LEVEL OF INVOLVEMENT:
3 = Fair
4 = Good
5 = Excellent
NO = Not Observed
1
2
3
4
5
NO
1
2
3
4
5
NO
1
2
3
4
5
NO
1
2
3
4
5
NO

Active involvement in campus activities

Contributes positively while not over-committing
Comments:
ADAPTABILITY/FLEXIBILITY:

Adjusts well to different circumstances and changes

Views issues from different perspectives

Displays openness to new ideas
Comments:
CONCERN FOR OTHERS:

Shows concern for others’ feelings

Tries to understand and help

Disagrees with ideas not people

Values differences among students
Comments:
LEADERSHIP:

Does not dominate but may lead

Serves as an organizer of people and resources

Attempts to keep a group on task
Comments:
SELF-CONFIDENCE:
1
2
3
4
5
NO
1
2
3
4
5
NO
1
2
3
4
5
NO
1
2
3
4
5
NO
1
2
3
4
5
NO

Able to communicate feelings/opinions

Addresses problems in a positive manner

Speaks for self

Accepts criticism in a positive manner
Comments:
SOCIABILITY/FRIENDLINESS:

Sincerely interested in others

Maintains an appropriate sense of humor

Positive and friendly comments

Accepts others non-judgmentally
Comments:
COMMUNICATION:

Expresses self well

Listens carefully and responds appropriately

Formulates ideas before speaking – does not ramble

Avoids domination

Uses positive body language
Comments:
WORKING WITHIN A COMMUNITY:

Displays good role modeling to others

Displays a knowledge of the University system

Displays reasonable expectations of the RA position and community living
Comments:
ENTHUSIASM:

Excited about working with people, staff, etc.

Shows interest in working within University Housing

Makes positive statements about the RA position and community living
Comments:
Overall Recommendation of this Candidate:
___ Highly Recommend
___ Do not Recommend
___ Recommend with Reservations (Please include your reservations below)
Additional Comments:
Reference Signature
Position
Date