SNAC 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 1st. 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
|Ability to serve as a role model|
|Time Management skills|
|Balances academics vs. responsibilities|
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.
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 1st.
(If you have questions, call 785.532.6595 or send an email to firstname.lastname@example.org.)
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.Dianna Schalles, MS, RD, LD
Health Promotion/Nutrition Counseling
Lafene Health Center
1105 Sunset Avenue
Manhattan, KS 66502-3761