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Pathways Center Recommendation Form
Thank you for serving as a reference for a student applying to work in the Wartburg College Pathways Center. Please provide an evaluation of this person based on your relationship and/or observations. Please contact jan.simpson@wartburg.edu or 319.352.8615 with any questions or concerns.
Name
*
Email
*
Your Title or Position
*
Recommended student
*
In what capacity have you known this applicant?
*
How long have you known this applicant?
*
What Pathways position is the applicant applying for?
*
Please select
College Achievement Program Mentor (CAP)
Math Lab
Pathways Peer
Supplemental Instruction (SI Leader)
Writing, Reading, Speaking Lab Consultant (WRSL)
The applicant would be a positive student role model
*
Please select
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant is tactful in manner and speech
*
Please select
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant responds well to constructive criticism
*
Please select
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant is sensitive to and works well with others
*
Please select
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant has demonstrated initiative
*
Please select
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant manages his/her time well
*
Please select
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant has strong written and oral communication skills
*
Please select
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Would you hire this person to work for you?
*
Yes
No
Additional Comments