2013-2014 Peer Mentor Reference Form

Applicant: Please send an email containing this link to your references for them to complete.

Evaluator: Thank you for taking a few moments to complete this reference form. The applicant who sent you this link is applying to be a Peer Mentor at Washington College for the 2013-2014 academic year. Peer Mentors are a select group of students who work with new students to acclimate to college life, beginning with contact over the summer, continuing through orientation and into the first semester. Peer Mentors should be excellent role models both socially and academically. In order to hire the students best suited for this important work we depend on your help in assessing the qualities of the applicants. Please be candid in your evaluation and include any information that you believe will help us select the best candidates.

Note: This evaluation form will be used solely by the Peer Mentor Selection Committee in its selection process and will not become part of the student’s permanent file. Therefore, the information on this form will remain confidential and will not be disclosed to the student or any other parties not involved in the selection process.

Please submit this completed Reference Form by February 22, 2013.
Sarah Feyerherm
Associate Vice President for Student Affairs
Casey Academic Center

2. How well do you know the applicant?
Select the option that best corresponds to your opinion about the student.
Below Average
Above Average
No basis for evaluation
3a. Academic Commitment: Student is committed to academic excellence and the primary importance of academics at the college.
3b. Leadership Skills: Student demonstrates the abilities to inspire, encourage, manage, and work with others.
3c. Organization: Student can prioritize tasks and manage multiple demands.
3d. Initiative: Student is self-motivated and willingly takes on tasks and completes them.
3e. Interpersonal Skills: Student relates well to others in a mature manner.
3f. Responsibility: Student is prompt, dependable, and follows direction.
3g. Communication Skills: Student has the ability to communicate effectively in both the written and verbal formats and is an attentive listener.
3h. Maturity: Student demonstrates a well-developed sense of judgment, common sense, and can look at situations from a broad perspective.
3i. Social Sensitivity: Student is knowledgeable and respectful of differences among people and is aware of appropriate and inclusive methods of communicating to people of varying backgrounds.

Please indicate your overall impression of the suitability of this candidate for a Peer Mentor position:

Evaluator Role on Campus