Grebel Don Reference Form

A Grebel Don is someone who identifies with Grebel��and who wants to be centrally involved with its life. They should be people who adhere to the guidelines for community living found in the Grebel Community Handbook��and who are exemplary role models. Dons serve as peer mentors and advisors to individuals and groups, they assist in the administrative operation of Grebel��during non-business hours, and they help to stimulate and create a residence ethos that is conducive to healthy living, fun engagement, and academic success.

Please review the��job description��before proceeding with the reference letter. Next, answer the following questions honestly and carefully. Keep your responses to 4 – 6 sentences per question.

Your confidential reference will inform��our decision making. If you have��questions, contact Grebel Student Services. Thank you for your assistance in helping us select��the ideal��people for this very important community role.

Referee First Name

Referee Last Name

Referee Email

Don Applicant First Name

Don Applicant Last Name

How long have you known the applicant?

With the Don job description in mind, identify and briefly describe your understanding of any challenges that may reduce the applicant's effectiveness in the Don role.

Identify and briefly describe how you believe the applicant is currently perceived by the Grebel Community.

Dons are role models for the community and are students who embody the mission and vision of Grebel. Identify and describe how the applicant has already demonstrated this mandate.

Identify the appropriate box which you believe best describes the applicant. Provide a rating for each category. If you do not have adequate information to make a fair assessment, identify as N/A.

Questions	Excellent	Average	Poor	N/A
SOCIAL MATURITY (Overall)	Excellent	Average	Poor	N/A
Ability to develop relationships	Excellent	Average	Poor	N/A
Ability to work within a team	Excellent	Average	Poor	N/A
Ability to communicate	Excellent	Average	Poor	N/A
Ability to confront	Excellent	Average	Poor	N/A
Tactfulness/Sensitivity	Excellent	Average	Poor	N/A
Tolerant	Excellent	Average	Poor	N/A
Warmth	Excellent	Average	Poor	N/A
Sociability	Excellent	Average	Poor	N/A
LEADERSHIP MATURITY (Overall)	Excellent	Average	Poor	N/A
Self-motivated	Excellent	Average	Poor	N/A
Initiative - will take the lead	Excellent	Average	Poor	N/A
Teachable spirit	Excellent	Average	Poor	N/A
EMOTIONAL MATURITY (Overall)	Excellent	Average	Poor	N/A
Emotional stability	Excellent	Average	Poor	N/A
Accurate self-perception	Excellent	Average	Poor	N/A
Self-confidence	Excellent	Average	Poor	N/A
Freedom from worry and anxiety	Excellent	Average	Poor	N/A
Ability to handle pressure	Excellent	Average	Poor	N/A
PERSONAL MATURITY (Overall)	Excellent	Average	Poor	N/A
Dependable	Excellent	Average	Poor	N/A
Self-disciplined	Excellent	Average	Poor	N/A
Integrity	Excellent	Average	Poor	N/A
Perseverance	Excellent	Average	Poor	N/A
Common sense and judgement	Excellent	Average	Poor	N/A
Flexibility/Adaptability	Excellent	Average	Poor	N/A
Responsibility/Follow-through	Excellent	Average	Poor	N/A
Decision-making ability	Excellent	Average	Poor	N/A
Energy level	Excellent	Average	Poor	N/A

By checking this box, I agree that the above information was my own and accurate reflects my assessment of the applicant.

Yes

Date

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