Sensible Nutrition and Body Image Choices
Peer Educators (S.N.A.C.)

Recommendation Form

___________________________________, a candidate for a S.N.A.C. peer educator position has included you as a reference on his/her application.

Please complete and return this reference to Health Promotion, Room 268, Lafene Health Center by October 1^st. PLEASE DO NOT RETURN THIS CONFIDENTIAL REFERENCE FORM TO THE CANDIDATE.

Please rate the applicant based on the rating scale below

O - outstanding, MS - more than satisfactory, SAT – satisfactory,
NI – needs improvement, U – unsatisfactory, NO – not observed

How long have you known the candidate?    _______Years   _______ Months

How do you know the candidate?
_________________________________________________________________

How well do you feel you know the candidate?

______ Only casually   ______ Moderately well   ______ Very well

Reference Name:___________________________________  Date:__________________
(Attach business card if you know this candidate as an advisor, instructor, or employer.)

May we contact you for further questions? _______________  Phone_________________

Please complete the following information.

STRENGTHS AND LIMITATIONS

Please identify one major strength and one limitation for this candidate.

STRENGTH:

LIMITATION:

You may use an extra sheet, if necessary, to write additional comments.

THANK YOU FOR YOUR ASSISTANCE!

This completed reference form should be returned by October 1^st.  
 (If you have questions, call 785.532.6595 or send an email to snac@k-state.edu.)

For information about the mission of the SNAC Peer Educators as well as criteria used for selection of volunteers, please refer to the SNAC website at www.k-state.edu/lafene/SNAC.  If you have additional questions please call 785.532.5240.

February 2008

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