Reference Form - Undergraduate Education

Thank you for agreeing to be a reference for an applicant to Crandall University’s Bachelor of Education or Bachelor of Technical Education program. The information you provide is carefully assessed by our Education Selection Committee.

Please complete all relevant sections of this form to the best of your ability. Please note that references to the Bachelor of Education program are intended to be professional or academic.

If you feel that you may not be a suitable choice of reference (friend, family or only have a personal relationship to the applicant) please contact the applicant directly to express your concerns.

Reference Information

Applicant's First Name

Applicant's Last Name

Referee's First Name

Referee's Last Name

Referee's Email

Referee's Phone

Referee's Position

How long have you known the applicant?

In what capacity have you known the applicant?

Applicant Characteristics

Interpersonal

	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
Is personable and works well with others.
Is sensitive and responsible to the needs and personalities of those around him or her.
Shows commitment to equity and diversity

Work and Leadership

	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
Handles problems, challenges and unexpected situations well.
Has strong organization and time management skills.
Works well independently, with little need for oversight.
Has strong leadership potential.
Shows a strong interest in children or youth and interacts well with them.
Is good at helping others learn new knowledge or skills.
Is good at designing learning experiences or materials.

Academics

	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
Is a strong student and learns well in a university environment
Is interested in being a “life-long” learner as one who seeks new knowledge/skills

Additional Questions

Please provide an example of one contribution the applicant could make to the teaching profession.

Please specify areas where the applicant (1) can grow and (2) areas of strength.

Acknowledgement

Accuracy

I agree that the information submitted in this reference form is true and accurate to the best of my knowledge, and is a fair assessment of the above-named applicant.

Confidentiality

I understand that my responses will be kept confidential, to be used as an aid in determining the suitability of the above-named applicant for an Undergraduate Education program at Crandall University.

Contact Information

	Strongly Agree	Agree	Disagree	Strongly Disagree	Not Applicable
Generates clear and well-organized writing
Communicates well with others.
Is an active listener.