EIS Applicant Reference Form (PDF)

EIS Applicant Reference Form
Thank you for agreeing to complete this recommendation form on behalf of a student who is
applying to work with the Intercultural Center (IC) next year. This recommendation form is
due by 4:30 p.m. on Tuesday, April 1st, 2014. Your student should have informed you of the
position(s) for which they are applying:
Thank you for your time, and please direct any questions about this recommendation form to
Dr. Grandone, Director of the EIS (ext 85808 or mgrandon@lmu.edu).
Student applicant’s name:_______________________________________________________
Position applying for:____________________________________________________________

Reference
Full name:_____________________________________________________________________
Position:______________________________________________________________________
Department:___________________________________________________________________
Email:_________________________________________________________________________
Phone number:_________________________________________________________________
How long have you known this student and in what capacity?

Please rate the student for each of the following characteristics:
Cultural Competency: Demonstrates inclusive
behaviors and attitudes, eager to learn about
different cultural experiences, does not
claim to be an “expert” about any one
culture or identity *

Poor
Below Average
Average
Above Average
Excellent
No Basis for Rating

Interpersonal Communication: Effectively
communicates ideas without alienating
others

Poor
Below Average
Average
Above Average
Excellent
No Basis for Rating

Leadership Ability: Leads with an ability to
inspire and direct others

Poor
Below Average
Average
Above Average
Excellent
No Basis for Rating

Organizational skills: Handles multiple tasks,
manages time well, and meets deadlines

Poor
Below Average
Average
Above Average
Excellent
No Basis for Rating

Responsibility: Uses sound judgment,
accepts responsibility, takes pride in work,
and is dependable

Poor
Below Average
Average
Above Average
Excellent
No Basis for Rating

Would you hire this student?

Yes
No
Not Sure

Additional comments?