St. Norbert College
St. Norbert College
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Applicant Name:
Your Relationship to Applicant:
Your Name:
Known the Applicant since:

Thank you for taking a few moments to complete this reference. If you have any additional comments or concerns, please feel free to share them at the bottom of this form. 

Please submit this form by February 14, 2014.

Please rate statements below using the following scale:
6-Exceptional (Top 2%)   5-Outstanding (90-98%)   4-Good (75-89%)   3-Average (50-74%)   2-Below Avg. (Bottom 50%)   1-Not Acceptable   0-Not Observed

1. Ability to work in a team setting
6 5 4 3 2 1 0
2. Ability to work independently
6 5 4 3 2 1 0
3. Responsibility in work ethic and commitments 6 5 4 3 2 1 0
4. Ability to be a positive role model for peers
6 5 4 3 2 1 0
5. Ability to handle stress
6 5 4 3 2 1 0
6. Communication skills
6 5 4 3 2 1 0
7. Open-mindedness and flexibility 6 5 4 3 2 1 0
8. Ability to engage people in conversation and invite participation, especially in new programs 6 5 4 3 2 1 0
9. Demonstrates capacity for personal and group reflection 6 5 4 3 2 1 0
10. Demonstrates capacity for engaging spiritual and theological questions and discussion 6 5 4 3 2 1 0
11. Demonstrates a pursuit of personal growth and exploration of faith/spirituality 6 5 4 3 2 1 0
Strengths/gifts of applicant:
Areas of potential growth:
Check here if you would prefer to give a verbal reference. We will contact you at the following:
Phone Number: Preferred time:
Please check one of the following:
Recommend
Recommend with reservations
Do Not Recommend
Do you have any additional comments?

Thank you!
Your reference will be submitted to Campus Ministry. If you experience difficulty submitting the form or have any questions, please contact DeEtte Radant at (920) 403-3155 or deette.radant@snc.edu.



Campus Ministry

Phone: (920) 403-3155
Fax: (920) 403-4043
E-mail: ministry@snc.edu


St. Norbert College • 100 Grant Street • De Pere, WI 54115-2099 • 920-337-3181