<c><b>Pathways Center Recommendation Form<b><c>
REFERENCE:
Thank you serving as a reference for a student applying to work in the Wartburg College Pathways Center. Please provide an evaluation of this person based on your relationship and/or observations. Please contact jan.simpson@wartburg.edu with any questions or concerns.
Your Name
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Your Email Address
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Student Recommending:
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In what capacity have you known this applicant?
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How long have you known this applicant?
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The applicant would be a positive student role model.
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The applicant is tactful in manner and speech.
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The applicant uses good judgment in making decisions.
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The applicant is dependable.
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The applicant responds well to constructive criticism.
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The applicant is sensitive to and works well with others.
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The applicant has demonstrated initiative.
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The applicant manages his/her time well.
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The applicant has strong written and oral communication skills.
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Would you hire this person to work for you?
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Yes
No
Additional comments:
Your Title or Position
*
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