Revised 4/14/20 6 | Page
College of the Siskiyous
Student Housing and Residential Life
Recommendation Form for Resident Assistant Candidate 2020-2021
Recommendation Forms are due on or before
May 30
th
6:30pm by email. Late emails will not be considered in
the process. Please submit this form via email fully completed to our office at lodges@siskiyous.edu. DO NOT Cc
or include the candidate on the email submission. This is a confidential form and your recommendation WILL NOT
be shared with the candidate.
Submit via email with the Subject Title as:
RE: (candidate’s first name and last name) Recommendation Form for COS RA 2020-2021.
Candidate’s Name:___________________________________________________________________________
Relationship to Candidate:____________________________________________________________________
Recommenders Contact Phone Number: _______________________________________
PLEASE READ INSTRUCTIONS CAREFULLY: Complete the following section by CIRCLING ONLY ONE (1)
NUMBER that best reflects your judgment on the candidate in that criterion. COMMENTS ARE REQUIRED
pertaining to why you chose that certain number; please note that simply circling a number will not be sufficient
enough to assist us in learning more about the candidate’s potentials or current state. Please feel free to make
additional notes on a separate attached sheet.
1 = Never 2 = Seldom 3 = Sometimes 4 = Frequently 5 = Always NA = Not Able to
Judge
The Candidate:
1. Has a genuine concern for other people’s needs
. 1 2 3 4 5 NA
Comments:
_____________________________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
2. Would be able to enforce college policies fairly
. 1 2 3 4 5 NA
Comments:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
3. Demonstrates leadership with other members, coworkers
/ 1 2 3 4 5 NA
other students.
Comments:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
