Student Orientation Assistant (SOA) Reference Form

Instructions:
Please complete the reference form below.

Note: References will only be accepted by Tech faculty or staff members.

Applicant/Student's Name: Applicant/Student's Name: First Last
Tech ID Number:
Must be 9 characters. Currently Entered: 0 characters.

Please answer the following questions:
Please answer the following questions:	Poor	Below Average	Average	Above Average	Excellent	Not Observed
Class Attendance	Class AttendancePoor	Class AttendanceBelow Average	Class AttendanceAverage	Class AttendanceAbove Average	Class AttendanceExcellent	Class AttendanceNot Observed
Class participation	Class participationPoor	Class participationBelow Average	Class participationAverage	Class participationAbove Average	Class participationExcellent	Class participationNot Observed
Attitude toward scholarship	Attitude toward scholarshipPoor	Attitude toward scholarshipBelow Average	Attitude toward scholarshipAverage	Attitude toward scholarshipAbove Average	Attitude toward scholarshipExcellent	Attitude toward scholarshipNot Observed
Completes assignments on time	Completes assignments on timePoor	Completes assignments on timeBelow Average	Completes assignments on timeAverage	Completes assignments on timeAbove Average	Completes assignments on timeExcellent	Completes assignments on timeNot Observed
Academic performance in class	Academic performance in classPoor	Academic performance in classBelow Average	Academic performance in classAverage	Academic performance in classAbove Average	Academic performance in classExcellent	Academic performance in classNot Observed
Attitude toward the University	Attitude toward the UniversityPoor	Attitude toward the UniversityBelow Average	Attitude toward the UniversityAverage	Attitude toward the UniversityAbove Average	Attitude toward the UniversityExcellent	Attitude toward the UniversityNot Observed
Acceptance of responsibility	Acceptance of responsibilityPoor	Acceptance of responsibilityBelow Average	Acceptance of responsibilityAverage	Acceptance of responsibilityAbove Average	Acceptance of responsibilityExcellent	Acceptance of responsibilityNot Observed
Leadership ability	Leadership abilityPoor	Leadership abilityBelow Average	Leadership abilityAverage	Leadership abilityAbove Average	Leadership abilityExcellent	Leadership abilityNot Observed
Communication skills	Communication skillsPoor	Communication skillsBelow Average	Communication skillsAverage	Communication skillsAbove Average	Communication skillsExcellent	Communication skillsNot Observed
Professionalism	ProfessionalismPoor	ProfessionalismBelow Average	ProfessionalismAverage	ProfessionalismAbove Average	ProfessionalismExcellent	ProfessionalismNot Observed
Citizenship	CitizenshipPoor	CitizenshipBelow Average	CitizenshipAverage	CitizenshipAbove Average	CitizenshipExcellent	CitizenshipNot Observed
Sensitivity to others	Sensitivity to othersPoor	Sensitivity to othersBelow Average	Sensitivity to othersAverage	Sensitivity to othersAbove Average	Sensitivity to othersExcellent	Sensitivity to othersNot Observed

Additional Comments/Feedback:
Reference Name: Reference Name: Title First Last Suffix
Reference Title/University Position:
Reference Tech Email Address:
You will receive a confirmation email once successfully submitted at the campus email address above.

Please click "Submit" below to complete this reference form.