2024-2025 Student Leadership Reference Form

The person who sent this form has applied for a student leadership position (within ASNU, Campus Ministries, MOSAIC, Welcome Weekend, Residence Life and/or SAB) at Northwest University for the 2024-2025 year. We would appreciate your response to the items below based on your knowledge of the applicant. All references are confidential but shared among those in the selection committee. Student leaders who are selected to be part of our teams would be responsible for things such as: leading others, modeling campus policy, developing community, programing, spiritual guidance and mentoring, caring for others, etc.

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* 1. Applicant's Name

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* 2. Your Name

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* 3. My relationship to the student applying for a student leadership position (please indicate the one that is most true):

Current RA

Faculty/Staff

Current or Previous Supervisor Role

Pastor

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* 4. How well do you know the applicant?

Very well

Fairly well

Slightly

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* 5. What are the applicant's most significant strengths?

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* 6. Briefly comment on the applicant's spiritual maturity:

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* 7. Briefly comment on the applicant's emotional maturity:

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* 8. How would you describe this applicant's personality? (Please mark all that apply)

Warm

Cold

Confident

Insecure

Humorous

Serious

Outgoing

Shy

Overbearing

Relaxed

Friendly

Adventurous

Reserved

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* 9. Please rate this applicant by choosing what most accurately describes the Personal/Interpersonal Qualities of the applicant:

	Excellent	Above Average	Average	Needs to Improve	Poor	Not observed
Christian commitment	Christian commitment Excellent	Christian commitment Above Average	Christian commitment Average	Christian commitment Needs to Improve	Christian commitment Poor	Christian commitment Not observed
Trustworthiness	Trustworthiness Excellent	Trustworthiness Above Average	Trustworthiness Average	Trustworthiness Needs to Improve	Trustworthiness Poor	Trustworthiness Not observed
Responsibility	Responsibility Excellent	Responsibility Above Average	Responsibility Average	Responsibility Needs to Improve	Responsibility Poor	Responsibility Not observed
Good Judgement	Good Judgement Excellent	Good Judgement Above Average	Good Judgement Average	Good Judgement Needs to Improve	Good Judgement Poor	Good Judgement Not observed
Self-Awareness	Self-Awareness Excellent	Self-Awareness Above Average	Self-Awareness Average	Self-Awareness Needs to Improve	Self-Awareness Poor	Self-Awareness Not observed
Integrity	Integrity Excellent	Integrity Above Average	Integrity Average	Integrity Needs to Improve	Integrity Poor	Integrity Not observed
Organizational skills	Organizational skills Excellent	Organizational skills Above Average	Organizational skills Average	Organizational skills Needs to Improve	Organizational skills Poor	Organizational skills Not observed
Work Ethic	Work Ethic Excellent	Work Ethic Above Average	Work Ethic Average	Work Ethic Needs to Improve	Work Ethic Poor	Work Ethic Not observed
Team Player	Team Player Excellent	Team Player Above Average	Team Player Average	Team Player Needs to Improve	Team Player Poor	Team Player Not observed
Attitude towards authority	Attitude towards authority Excellent	Attitude towards authority Above Average	Attitude towards authority Average	Attitude towards authority Needs to Improve	Attitude towards authority Poor	Attitude towards authority Not observed
Ability to respond positively to change	Ability to respond positively to change Excellent	Ability to respond positively to change Above Average	Ability to respond positively to change Average	Ability to respond positively to change Needs to Improve	Ability to respond positively to change Poor	Ability to respond positively to change Not observed
Response to criticism	Response to criticism Excellent	Response to criticism Above Average	Response to criticism Average	Response to criticism Needs to Improve	Response to criticism Poor	Response to criticism Not observed
Models University policies	Models University policies Excellent	Models University policies Above Average	Models University policies Average	Models University policies Needs to Improve	Models University policies Poor	Models University policies Not observed

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* 10. Please indicate your perspective to the applicant's potential for success in student leadership by indicating one of the following:

Highly recommend

Recommend

Recommend with reservation

Do not recommend

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* 11. Any additional comments:

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* 12. By typing my name in the box below, I am indicating that this form is filled out accurately and honestly.

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* 13. Today's Date

Date / Time

Date