Ica Application Reference Form

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ICA Application REFERENCE FORM 
Instructions:  The student named below is applying for an Intercultural Aide position at Michigan State University.  When the recommendation form has been completed, please return 
the form to the applicant in a sealed envelope with your signature over the seal.   (This form should not take more than 7‐10 mins to complete in its entirety). 
 
Applicant’s Name   
 
 
 
 
 
How long and in what capacity have you known the applicant?___________________________________________________________________ 
 
Please check the appropriate box for the information below.  Please compare this applicant to other students you know. 
 
Excellent 
Above Ave 
Average 
Poor 
Not 
(4) 
    (3) 
(2) 
(1) 
Applicable 
 
COMMENTS 
PERSONAL 
 
Emotional Maturity 
 
 
 
Honesty 
 
 
 
Reliability 
 
 
 
Level of Cooperation 
 
 
 
Social Awareness 
 
 
 
MOTIVATION 
 
Attitude 
 
 
 
Initiative 
 
 
 
Punctuality 
 
 
 
Meets deadlines 
 
 
 
Willingness to learn 
 
 
 
Eagerness to learn 
 
 
 
COMPETENCIES 
 
 
 
Creativity  
 
 
 
Decision making 
 
 
 
Leadership potential 
 
 
 
Ability to work on a team 
 
 
 
 
 
 
Ability to work with 
 
 
 
 
 
 
diverse individuals 
Planning abilities 
 
 
 
Organization 
 
 
 
Resourcefulness 
 
 
 
Thoroughness in 
 
 
 
completing tasks 
COMM SKILLS 
 
 
 
Public Speaking 
 
 
 
Written 
 
 
 
 
 
 

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