Name of Reference     

Title/Position    

Phone Number    

Email Address    

Name of Applicant    

Relationship to Applicant --Select-- Current Employer Former Employer UWRF Faculty/Staff Other (please specify)    

Please complete the following rating scale concerning the applicant's abilities in these areas:

Communication Skills   --Select-- Excellent Satisfactory Needs Improvement Unsatisfactory N/A (no observation)  

Public Speaking   --Select-- Excellent Satisfactory Needs Improvement Unsatisfactory N/A (no observation)  

Professionalism   --Select-- Excellent Satisfactory Needs Improvement Unsatisfactory N/A (no observation)  

Attitude   --Select-- Excellent Satisfactory Needs Improvement Unsatisfactory N/A (no observation)  

Customer Service   --Select-- Excellent Satisfactory Needs Improvement Unsatisfactory N/A (no observation)  

Reliability   --Select-- Excellent Satisfactory Needs Improvement Unsatisfactory N/A (no observation)  

Multitasking   --Select-- Excellent Satisfactory Needs Improvement Unsatisfactory N/A (no observation)  

Organization   --Select-- Excellent Satisfactory Needs Improvement Unsatisfactory N/A (no observation)  

Flexibility   --Select-- Excellent Satisfactory Needs Improvement Unsatisfactory N/A (no observation)  

Team Work   --Select-- Excellent Satisfactory Needs Improvement Unsatisfactory N/A (no observation)  

Globally-Minded   --Select-- Excellent Satisfactory Needs Improvement Unsatisfactory N/A (no observation)  

Please answer the following questions about the applicant:

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

What are the applicant's strengths?
 

Please describe the applicant’s ability to take initiative, be creative and work independently.
 

Please comment on the applicant’s ability to communicate across different audiences (peers, faculty/staff, and public speaking).  
 

Please describe the applicant's ability to provide leadership and demonstrate sensitivity in dealing with diverse groups of individuals.
 

How do you think this applicant would represent UW-River Falls in their interactions with outside constituents?
 

Is there anything else you want to share with us?