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Academic Coach Reference Form 2020
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* Indicates required question
Email
*
Your email
General Information:
Reference Name:
*
Your answer
Name of applicant:
*
Your answer
Relationship to applicant:
*
Your answer
Observed Qualities:
Demonstrates empathy towards others.
*
Not observed
1
2
3
4
5
Always
Works well with others.
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Not observed
1
2
3
4
5
Always
Is approachable.
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Not observed
1
2
3
4
5
Always
Is dependable and conscientious
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Not observed
1
2
3
4
5
Always
Is adaptable/flexible
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Not observed
1
2
3
4
5
Always
Has good listening skills
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Not observed
1
2
3
4
5
Always
Follows through on commitments
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Not observed
1
2
3
4
5
Always
Uses effective study skills
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Not observed
1
2
3
4
5
Always
Recommendation:
What is your opinion of the applicant's ability to assist students needing to improve academically?
*
Your answer
What is your overall evaluation of this candidate?
*
Strongly recommend
Recommend
Recommend with reservation
Applicant would not be a good fit - I do not recommend.
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