Reference Form for Peer Mentor Applicant

To the recommender: If you have been asked to provide a reference for a prospective SAW mentor, please complete the form below.

If you would prefer to submit a hardcopy, please download the Faculty Reference Form and send to:

  • MHC Interoffice Mail: Dwight 214A, or
  • U.S. Postal Service: Mount Holyoke College, Dwight 214A, 50 College Street, South Hadley, MA 01075

For questions, please contact Kimberly Jeffers, SAW Administrative Coordinator


Fields marked with an asterisk* are required.

Reference Form

Please include extension (if applicable).

Please indicate your assessment of the applicant's abilities:

PoorFairGoodExcellentBest I have seenNo basis to judge
Taken Seriously by others
Empathizes with other students
Listens well to other students
Sets other students at ease
Inspires other students
Able to communicate across cultural differences
PoorFairGoodExcellentBest I have seenNo basis to judge
Builds strong arguments
Organizes ideas effectively
Uses words purposefully and artfully
Able to learn conventions in multiple genres
Speaks clearly and dynamically
Speaks or understands multiple languages or dialects
Can clearly communicate her knowledge about speaking, arguing, and writing to others
PoorFairGoodExcellentBest I have seenNo basis to judge
Willing to speak up in a group
Willing to make assertive arguments
Willing to engage in difficult conversations about controversial subject matter
Able to initiate relationships with peers