Faculty Recommendation Form
Students: Give this form to a SUNY Orange faculty member.
Student’s Name: __________________________
Faculty: The above student has applied for a position as a Student Support Iniatives Peer Mentor. The Peer Mentors serve in
a leadership role assist their mentees develop academic success skills such as time management, reading strategies and study
skills. Mentors will receive weekly training on how to best support these students. Your input is an essential part of the
application process as we strive to select the most qualified student leaders. Please provide a candid evaluation of this
student’s potential to serve effectively in this role. Thank you for your time.
After completing and signing the form, please scan and email to: alison.fisher@sunyorange.edu or via interoffice mail
to
Alison Fisher, Student Success Specialist, 125 Kaplan Hall, Newburgh Campus.
Please check the category that indicates your perception of this student in each area.
Fair Good Excellent
No Opinion
1. Academic motivation
2. Responsibility
3. Written and Verbal communication skills
4. Initiative
5. Leadership skills
6. Interpersonal skills
How long have you known the student and in what capacity?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
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Do you have any concerns about this student’s ability to mentor?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
What is your overall assessment of the student’s academic and professional fit for the mentor program?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
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If you would like to make additional comments about the applicant, please attach a separate sheet.
Please feel free to contact Alison Fisher, Student Success Specialist, if you have any questions:
845-341-9650 or alison.fisher@sunyorange.edu.
Faculty Name: ___________________________ Dept: _________________________________
Faculty Signature: ________________________ Date: _________________________________
Phone: ________________________________
Email: _________________________________
