Student Learning Assistance Center

Alkek Library
4th Floor
601 University Dr
San Marcos, TX 78666
512 245-2515 phone
512 245-3002 fax

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Texas State > Student Learning Assistance Center > Tutoring > Tutor Employment > Reference Form

Reference Form

If a hard copy is needed, click HERE for a printer friendly format.

NOTE: Please keep this form confidential.

The purpose of this form is to assist the Student Learning Assistance Center in evaluating applicants. We want to offer the best service possible to TX State students, and your candid evaluation of the applicant is an important part of our selection process.
Student tutors complete extensive training and work in the SLAC Lab. Their services are free to TX State students. Private tutors are placed on a referral list. Their names and phone numbers are available for those students who would like to hire a private tutor.

Name of Applicant :

List of Courses/Subjects

Applicant wishes to tutor

Your Name (Reference Name) :
Your Email Address :
Title
Department
Local Address :
Local Phone No.

How long, and in what capacity, have you known the applicant?

What specific course(s) do you feel the applicant can tutor effectively?

Using a 5-point scale, please rate the applicant on the following items.
1 -- Excellent
2 -- Good
3 -- Fair
4 -- Poor
5 -- Unable to Judge

		Rating	Comments
1.	Learns new information quickly
2.	Turns in assignments on time
3.	Demonstrates knowledge of subject
4.	Applies knowledge of subject
5.	Accepts constructive criticism
6.	Completes duties in a professional manner
7.	Exhibits a sense of responsibility
8.	Organizes and completes tasks competently
9.	Honors appointments and is punctual
10.	Relates to authority
11.	Initial impression he/she makes on others
12.	Confidence
13.	Patience
14.	Sense of humor
15.	Communication skills
16.	Ability to work within a group
17.	Ability to work with individuals one-to-one
18.	Motivation

Please mark one of the following statements.

	I recommend the applicant without reservation.
	I recommend the applicant, but I have these reservations (please use box below):
	I have substantial doubts about the applicant's ability to be an effective student counselor or private tutor.
	I would like to discuss the applicant's qualifications over the phone, email or in person.

If you have any additional comments or questions please type them in the space below.

After completing this form as truthfully as possible, please click the following button
to submit this reference to the Student Learning Assistance Center: