Viterbo University - The University of Opportunity: Hope and Help

Orientation Leader Reference Form

(NAME) has applied for a position to be an Orientation Leader at Viterbo University for August 2014. In this capacity, she/he will be responsible for assisting new students and parents during move-in and orientation weekend. Orientation Leaders are asked to be positive role models for new students, facilitate small group activities and discussion, and create an atmosphere of respect and community. The purpose of this recommendation form is to get a sense of the candidate’s potential for the Orientation Leader position. Your honest and confidential appraisal of the applicant is appreciated and will help us determine the quality of the potential candidates. If you have any questions, call the Office of Campus Activities (Alex Koeller or Dodie Marriott) at 608-796-3807 or email


Peer leadership ability  

Observed maturity and stability

Responsibility and dependability                                                                   

Has a positive attitude, energy and influence on others

Uses good common sense and judgment in making decisions

Ability to relate and communicate well with peers, students or staff       

Would support and abide by Viterbo policies and the law

I would: this candidate for the position of Orientation Leader in August 2013.  

Additional comments are welcome on the personal qualities of the candidate that you feel are pertinent to the assessment of his/ her Orientation Leader potential:


Name of Reference:  



How long have you known the applicant?  


I confirm that this form was completed the by the name of reference on this form. This reference is confidential and will not be shared with the candidate.