Lab Instructional Assistant Employment Reference Form : Chemistry & Biochemistry : Texas State University

1. Instructor Name *

Instructors TXST Email *

2. Name of the IA applicant *

3. IA applicant's NetID *

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

0/10000

5.What specific lab(s) do you feel the applicant can effectively instruct? *

0/10000

6. Using a 5-point scale, please rate the applicant on the following items

7. Please select which best describes your attitude about the applicant *

I recommend the applicant without reservation

I recommend the applicant, but I have some reservations

I have substantial doubts about the applicant's ability to be an effective lab instructor

I would like to discuss the applicant's qualifications over the phone or email

8. Please describe any additional comments or concerns regarding this applicant

0/10000