Calvin College - Service-Learning Center - Resources for Faculty - Academically Based Service Learning Evaluation

Reference Form - S-LC Student Reference Form (to be completed by faculty, staff and community reference persons on behalf of students applying for open S-LC student positions.)

The Service-Learning Center is looking for students who are actively working to integrate their faith, studies and life. We need students of sufficient maturity and integrity in order to serve as leaders. The following form is to be completed as the result of a request by a current Calvin student who asked you to be a reference.

(This form has 19 questions and should take approximately 3 to 5 minutes to complete.)

Your Name:

Your Email Address:
* required field, please enter valid email address

Your Department/Organization:

Student's Name:

What is your relation to this person?

How long have you known this person?

Please rate the following personality characteristics concerning this person:

0 = No opportunity to observe
1 = Poor
2 = Average
3 = Above average

Most students applying for an SLC position would most likely be judged "average" in the categories. Please use "poor" rating to indicate a problem area and the "above average" rating to indicate a person who stands out in a category.

Judgment: (common sense, decisive accepts suggestions, considers alternative solutions.
0
1
2
3
Listening Skills: grasps subtle meanings well.
0
1
2
3
Oral Expressions: clarity, articulates position well.
0
1
2
3
Initiative: self-starter, independent, needs little to no supervision.
0
1
2
3
Performance Under Pressure: prioritizes responsibilities; has ability to attend to multiple responsibilities.
0
1
2
3
Demeanor: warm, positive, responds to others needs.
0
1
2
3
Study/Work Habits: well-organized, uses time effectively, always prepared.
0
1
2
3
Industry: perseverance, endurance, hard worker.
0
1
2
3
Dependability: reliable, can count on him/her to follow through.
0
1
2
3
Leadership: gains respect by example, others look to him/her for direction.
0
1
2
3
Integrity: practices high principles without invoking antagonism, consistent moral standards.
0
1
2
3
Self-understanding: knows own strengths, knows and works on weaknesses.
0
1
2
3
Openness: shares feelings, seeks and accepts advice.
0
1
2
3
Exercise of Authority: capable of supporting and correcting others tactfully and effectively.
0
1
2
3
Integration of faith and life: seeks to understand how faith shapes life, wrestles with "big" issues, asks good questions.
0
1
2
3
Have you had an opportunity to observe this person's lifestyle?
Yes
No
If yes, does this person's lifestyle reflect a Christian commitment?
Yes
No
Do you recommend this person as someone who is capable of handling a semi-professional position and representing the goals and values of Calvin College?
Yes
Yes, with reservations
No
Additional Comments on Question 18.
Other Comments: