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You have been listed as a reference by an applicant to our 8-month bodywork program. We want to make enrollment decisions that are best for the applicants and maximize fitness for our program. We recognize that it can be tempting to have a positive bias on these forms to help the applicant, but also keep in mind that their ideal path may not be joining this program. Your honest answers will help us determine the best path forward. Thank you.
Applicant's Name
*
First
Last
Your Name
*
First
Last
Relation to Applicant
*
In what capacity do you know this person?
Relationship Duration
*
How long have you known the applicant?
Does the applicant tend to finish what they start?
*
No
Mostly No
Half the time
Mostly Yes
Yes
What level of engagement to do you imagine the applicant will maintain with our program's material?
*
Very Low
Low
Moderate
High
Very High
How would you rate the likelihood that this applicant will have good attendance and punctuality?
*
Very Low
Low
Moderate
High
Very High
How healthy is the applicant's relationship with conflict?
*
Healthy=Actively attempts to resolve conflict. Takes responsibility for mistakes. Doesn't avoid or add to conflict.
Unhealthy=Generates or avoids conflict. Blames others. Doesn't take responsibility and doesn't attempt to create resolution.
Unhealthy
Worse than average
Average
Better than average
Healthy
How would you characterize the applicant's response to feedback or critique?
*
Poor responses include defensiveness and unwillingness to consider feedback. Good responses include appreciation and a desire to improve based on what is offered.
Poor
Fair
So-so
Good
Excellent
How much does the applicant naturally consider his/her behavior's impact on others?
*
Please base this decision on the applicant's actions, not on what they say.
Very little
Mostly not
Moderate
Mostly
Very much
When the applicant is upset about something or upset with someone, which of the following actions do you imagine the applicant would normally take?
*
Publicly discuss the issue on social media
Discuss with friends but not relevant parties
Keep issue to oneself
Discuss with relevant parties
Comments
Please offer any other comments about the applicant that you think would be useful in our decision-making process.
Thank you for taking the time to complete this form.
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