REFERENCE FORM FOR SUMMER STAFF APPLICANTS
To the evaluator: Please fill out this form as honestly as possible and email it to Brendon Goodridge at
brendongoodridge@ccsu.edu
on or before Sunday, March 22, 2015. If preferred, you may mail the reference to the
Residence Life Office in Barrows Hall, Room 120 or you may fax the reference to (860) 832-1659. Please address all
letters to:
Brendon Goodridge, Assistant to the Director of Residence Life/Area Coordinator of
Sam May Hall - CCSU, 1615 Stanley Street, New Britain, CT 06050
Name of applicant (please print): ______________________________________________________________________
Name of the Person completing the evaluation form (please print): __________________________________________
1. How long have you known the applicant and in what capacity?
2. Comment on the applicant’s leadership ability. Please consider the following: leadership style,
organizational skills, ability to motivate students, staff, and residents, etc.
3. Comment on the applicant’s interpersonal skills. Please consider attitude and the ability to be responsive to the
needs and problems of others, tolerance and communication skills, flexibility, sensitivity, disposition and sense of
humor.
4. What hesitation(s) would you have in recommending this person for this position?
5. Please make any additional comments that you feel will help the selection committee make their decision.
6. In your opinion, please rate the applicants overall potential as a Resident Assistant:
_____Exceptional ______ Above Average ______ Average _____ Below Average
Signature: _____________________________ Title: _______________________ Phone: _______________
*Hall Directors directly related to Summer Conferencing and Residence Life Senior Staff members are exempt from filling out candidate evaluations*
click to sign
signature
click to edit
![]()
