1. Reference Information

33% of survey complete.

Thank you for serving as a reference for an Orientation Leader candidate. To assist Orientation and New Student Programs in its selection of Orientation Leaders for Summer and Fall 2013, please provide an honest appraisal regarding the strengths and weaknesses of the applicant. Please complete this form no later than Wednesday, February 6 at 4:00 pm. If you have any questions about this reference form, please contact Shraddha Prasad at shraddha@virginia.edu

Please share the requested information below. We may contact you for additional information or clarification.

* 1. Applicant's Last Name

* 2. Applicant's First Name

* 3. Your Name

* 4. Your Title

* 5. How long have you known the applicant and in what capacity?

* 6. Your Email Address

* 7. Your Phone Number