Spring 2021 Student Success Coach Reference Form
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General Information & Instructions
Dear Recommender:

The student named below is applying to become a USD Student Success Peer Coach. In this role, the student will be meeting one-on-one with students who are struggling with their transition to USD, seeking to improve their academic performance, and/or interested in enhancing their overall college experience. These students may be struggling academically, socially, or both and the peer coaches help the student come up with a plan to address the challenges they are facing.

Please provide feedback on the potential for the student to be successful in this role by completing the brief evaluation below. Any additional comments are valued. Please complete the form by Friday, October 30th, 2020.

If you have any questions about the position, please call (619) 260-5995 or send email to css@sandiego.edu.
Name of student you are recommending *
Qualifications
*
Outstanding
Very Good
Average
Marginal
Not Satisfactory
Unable to judge
Punctuality
Work attitude
Interpersonal sensitivity
Verbal communication skills
Sensitivity to and awareness of cultural and gender diversity
Ability to accept feedback
Intellectual ability
Reliability
Ability to work independently
Ability to form effective interpersonal individual relationships
Awareness of strengths
Awareness of weaknesses
Please share any additional comments on the student.
Recommender's Information
Recommender's Name *
Recommender's Title, Department/Organization *
Recommender's Email Address *
Relationship to Student *
How long have you known the student? *
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