Greetings from the Office of Residence Life. This student: ____________________________ is a candidate for
Resident Assistant (RA) and has asked you to complete this Confidential Reference form.
Privacy The Family Educational Rights and Privacy Act of 1974 as amended, permits students to waive their rights
to inspect letters of reference. The status below indicates if the student has waived their rights:
By using this Open Reference Form, the applicant has retained their right to inspect this document.
Brief Description of Responsibilities: RAs have an exciting opportunity to shape, create, and mold a student
community of up to 60 students living on a floor. As student mentors and leaders, their overall responsibility is to
provide leadership, assistance, and support to the students living in their area. Working in cooperation with the
professional staff, RAs strive to maximize the residential experience. When completing this reference please keep
the following characteristics and skills in mind:
Maturity and a good sense of self
Solid communication skills
Ability to work with diverse groups of people
A strong commitment to service
Knowledge of UE campus and resources
Good academic and disciplinary standing
Dependability and a willingness to work a
flexible schedule
Accuracy and attention to detail
Ability to perform light physical labor
Ability to work in a fast paced environment
and adapt to new and unexpected situations
Ability to maintain a level head when
addressing crisis or emergency situations
Ability to work both independently and as
part of a team
Ability to enforce campus and housing
policies
Desire to build a positive and inclusive
residence hall community
Please rate this candidate in the following areas:
Has Basic Needs
Strong Skills Assistance Weak No Basis
Mature and Level-Headed __ __ __ __ __
Good Communication Skills __ __ __ __ __
Positive and Service Oriented __ __ __ __ __
Supportive of Diversity __ __ __ __ __
A Motivated Self-Starter __ __ __ __ __
Able to Lead Others __ __ __ __ __
Able to Accept Direction __ __ __ __ __
Dependable and Reliable __ __ __ __ __
Organized and Adaptable __ __ __ __ __
Resourceful and Resilient __ __ __ __ __
Open Reference Form - Resident Assistant
University of Evansville – Office of Residence Life
This form should be saved to your computer prior to filling in responses. Upon completion, either print and return a signed copy to Residence
Life OR type your signature and e-mail the document using your evansville.edu address.
Please add any additional comments regarding the readiness and qualities of this candidate.
Name of Reference ___________________________________________ Title___________________________
Relationship to applicant: _____________________________________________________________________
How long have you known the applicant? ________________________________________________________
How confident are you in your ability to evaluate this applicant?______________________________________
What is your overall ranking of this candidate’s qualifications for the Resident Assistant Position?
__ Highly Recommend __ Recommend __ Have some Reservations __ Do not recommend
Signature of Reference ___________________________________________ Date ______________________
Upon completion, either print and return a signed copy to Residence Life OR type your signature and e-mail
the document using your evansville.edu address.
Office of Residence Life
Jackie Luedtke
RUC 227
jL295@evansville.edu
If you have questions about this process, please contact Residence Life at 812-488-2956.