Please fill out the following reference/nomination form.
Name of Student:
Position:
Your Name:
Your E-mail:
Please complete the following. 1 => Unsatisfactory. 6 => Excellent.
Communication Skills:
1 2 3 4 5 6
Comments:
Dependability:
Ability to Work Independently:
Team Skills:
Ethics/Integrity:
Leadership Ability:
Involvement (Campus/Community):
How do you know this student?
How long have you known this student?
Other Comments: