Employee Reference Request

Bowie State University Office of Residence Life

Student Staff Reference Form
Thank you for taking the time to complete this reference form. The applicant is applying for an Office of Residence Life (ORL) position at Bowie State University. ORL staff act as informal advisors, activity planners and assist in the management of the residence halls. Leadership, responsibility, sensitivity, maturity, fairness and dedication are essential qualities in this position. Your comments are needed to help the selection committee determine the potential and suitability of this applicant for the position. To the best of your knowledge, please comment on the areas listed below as they pertain to behaviors demonstrated and comments made by the applicant.

Thank you for your time and consideration.
REFERENCE REQUEST FOR *
Your Name & Position *
Company Name & Address where worked with candidate *
Relationship with Candidate *
1. Employment Details
Date Employed From *

Day Month Year
Date Employed To *

Day Month Year
Candidates Job Title *
Reason For Leaving *
Would You Re-employ? *

Yes No
Comments/further information
2. Please Comment On The Following Regarding the Applicant

Please select the the description that most closely relates the applicants performance. In the comments section, please give a concise description of the applicants behavior in that area. If you are unaware of the trait in question, please list N/A.
Level of performance with your company or experience with the applicant (classroom, volunteer work, etc.) *

Excellent Good Satisfactory Poor
Comments about the applicant's performance in this area: *
The applicant is accepting of people with different skin color,lifestyles, political viewpoints, religious background, cultures or ethnicities: *

Excellent Good Satisfactory Poor
Comments about the applicant's performance in this area: *
The applicant possesses effective communication skills *

Excellent Good Satisfactory Poor
Comments about the applicants performance in this area: *
The applicant possesses leadership potential *

Excellent Good Satisfactory Poor
Comments about the applicants performance in this area: *
The applicant has a clear perception of the job *

Excellent Good Satisfactory Poor
Comments about the applicants performance in this area: *
The applicant follows instructions well *

Excellent Good Satisfactory Poor
Comments about the applicants performance in this area: *
The applicant is approachable *

Excellent Good Satisfactory Poor
Comments about the applicants performance in this area: *
The applicant has demonstrated potential for planning educational programs and social activities *

Excellent Good Satisfactory Poor
Comments about the applicants performance in this area: *
The applicant Is aware of BSU resources *

Excellent Good Satisfactory Poor Not Applicable (for external employers only)
Comments about the applicants performance in this area: *
Has the candidate's honesty and integrity ever been brought into question that you are aware of? *
Are you aware of any policy violations or disciplinary action? *
Additional general comments regarding the applicant
Overall Recommendation regarding this applicant *

Strongly Recommend Recommend with Reservations Unsure Do NOT Recommend No Basis to Judge
I declare that to the best of my knowledge the information I have given in this reference is correct and complete *

I Agree
E-mail
Phone Number

Area Code Phone Number
Should be Empty:

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Bowie State University Office of Residence Life

1. Employment Details

2. Please Comment On The Following Regarding the Applicant