Sample Student Staff Employment Reference Form Page 2

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Student Staff Employment Reference Form
Please share comments on the candidate’s abilities in the following areas. Examples are of greatly appreciated.
1)
Ability for independent thought:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
2)
Ability to gain the respect of peers:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
3)
Ability to role model good conduct:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
4)
Sense of integrity and good citizenship:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
5)
Work habits:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________
__________________________
___________________________________________
Referee’s Signature
Date
Phone Number and Email

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