Faculty Referral Form

The Freshman College is accepting applications for Peer Mentors, SI Leaders and Tutors. If you know of a student who is currently or previously enrolled in one of your classes who would be a solid candidate for Peer Mentoring, SI Leading or Tutoring, please indicate his/her name, subject areas and assess his/her potential to perform the duties of a Peer Mentor, SI Leader or Tutor.

All fields marked with an asterisk (*) are required.

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Faculty Name:

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Title:

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Department:

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Phone Number:

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Email Address:*

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Student Name:

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Student CID:

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Recommended for Subject/Course:

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Rate the student's expertise in content area:

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Rate the student's ability to explain subject in practical and conceptual terms to others:

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Rate the student's ability to work collaboratively:

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Rate the student's ability to work one-to-one:

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Rate the student's work ethic:

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Rate the student's communication skills:

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Rate the student's dependability/reliability skills:

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Rate the student's maturity level:

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I am recommending this student as a SI Leader/Tutor because:

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Additional Comments:

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