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Name of FRAD applicant: |
| Name of RA, FRAR or FRAD completing this reference (your name): |
| Your e-mail address: |
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| Please react to the statements below according to your own personal observations of the applicant named above. Please select the choice beside the response which best corresponds to your impression of this student. |
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| 1. Initiative |
| Depends wholly upon others for motivation. |
| Capable of routine tasks only. |
| Sometimes self-motivated. |
| Self-motivated, self-reliant, and independent. |
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| 2. Cooperativeness |
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Too individualistic, not a team worker, causes conflict in a group. |
| Can work satisfactorily with others, but tends towards being individualistic. |
| Works well with others, very adaptable. |
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Inspiring to others, very cooperative, strong force for group morale. |
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| 3. Responsibility |
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Avoids responsibility, somewhat unreliable and indifferent. |
| Needs occasional stimulation, does routine work well under supervision. |
| Works hard if interested. |
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Very dependable. |
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| 4. Personality |
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Somewhat irritating, unfavorable impression. |
| No particular impression. |
| Makes favorable impression. |
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Very favorable impression, pleasing personality. |
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| 5. Maturity |
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Seems immature, does not handle disappointments well. |
| Displays average maturity for age. |
| Has patience to persevere, well adjusted. |
| Shows exceptionally good judgment. |
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| 6. Leadership Ability |
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Seems to have trouble dealing with people. |
| Has limited potential, follows majority. |
| Demonstrates self-reliance and initiative; has leadership potential. |
| Shows administrative ability, has respect of peers, is a natural leader. |
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| 7. Social Sensitivity |
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Often not alert or tolerant of other people's feelings. |
| Not always able to respond effectively to feelings and reactions of others. |
| Sensitive to other individuals and responsive to them. |
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Exceptionally sensitive and responsive to feelings of others. |
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| 8. Innovativeness |
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Not likely to introduce new ideas to a group. |
| Somewhat resistant to change. |
| Uses creativity to bring about change. |
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Exceptionally innovative and creative. |
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| 9. Self-Esteem |
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Very low self-esteem, seems to doubt own capabilities. |
| Often not sure of self. |
| Seems aware of own capabilities. |
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Is very self-confident. |
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| 10. Involvement |
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Totally uninvolved in the hall's social gatherings. |
| Somewhat removed from social activity of the hall. |
| Supports and attends many informal and planned social activities. |
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Actively initiates informal and planned social activities. |
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| 11. Openness |
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Totally unaccepting of students from diverse backgrounds. |
| Somewhat unaccepting of students from different backgrounds. |
| Accepts and interacts with students from different backgrounds. |
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Actively initiates friendships with students from different backgrounds. |
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| How well do you know this student? |
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| What is your recommendation? |
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| Any additional comments? |
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