Reference Form for New DA Hire 2015

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The purpose of this form is to assist Regis university in evaluating applicants for the Desk Assistant (DA) position. The main job of the Desk Assistant is to interact with students, promote role model qualities, and help any student with basic housing needs in the residence hall that they are placed. Your honest evaluation of the applicant serves as an important part of the selection process. If you are unable to answer a question, please check or write “Not applicable”.

Please submit this form by Wednesday, June 17th, 2015 at 5 pm. If you have any questions please contact David McCoy.

Phone: 303.964.3697
Email: dmccoy001@regis.edu

Reference Information

Reference First Name *

Reference Last Name *

Reference Title *

Reference Email Address *

Reference Phone Number *

Can regis University Residence Life, Housing, and Event Services contact you for further information and/or clarification? *

Yes

Applicant Information

Applicant First Name *

Applicant Last Name *

How long have you known the applicant? *

In what capacity(ies) do you know the applicant? *

Character Traits of the Applicant

Responsibility *

Teachability *

Approachability *

Cooperation *

Integrity *

Communication *

Initiative *

What impresses you about this applicant? *

What do you think might limit this applicant in a position of this nature? *

Do you recommend this applicant? *

Yes

Yes, with reservations

Other:

Would you hire this applicant? Why or why not? *

Certification

By completing this form and the electronic signature below, I certify that:

This information is this reference form is true and correct to the best of my knowledge.

submitting any false information could void my reference form and hinder the applicant in the hiring process.

Reference Name: *

The typing of my name will serve as my electronic signature.

Date: *

The typing of the date here will serve as my electronic signature.

Submit

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