[RESIDENT ASSISTANT STAFF REFERENCE FORM]

TO BE COMPLETED BY AN RA

Be as specific when completing this form, use examples, be honest. It is due in the Residence Life Office
no later than Friday January 20, 2010 by 4:00 p.m. or email to poliveir@risd.edu. . References not
received by the deadline will render an application incomplete and the candidate will be
ineligible to be considered for a position.

Candidate’s Name:_________________________________________________________________

Resident Assistant Staff Name:___________________________________________________________

Are you their Resident Assistant?  yes  no

1. Why do you think this person would be a good RA? In your explanation, include 3 attributes of this
person that would make them a successful RA.

2. What three aspects of the position might present the greatest difficulty for this person?

3. In considering this person’s candidacy, what is the one most important thing the selection committee
should know?

4. Over all, on a scale of one to five, please indicate your perception of this candidate’s ability to perform
as RA.

Low 1 2 3 4 5 High

I AUTHORIZE the Residence Life Office to identify me as the source of this reference and to release
a copy of this reference in its entirety upon request to the applicant.

I DO NOT AUTHORIZE the Residence Life Office to identify me as the source of this reference, nor
do I authorize the release of a copy of this reference in its entirety to the applicant. I realize that a
summary of this reference may be released without my approval.

Evaluator’s Signature Date

Pro 11/2007