Ambassadors for Diversity Inclusion

Applicant Reference

You've been selected to serve as a reference for an Ambassadors for Diversity and Inclusion applicant! Thank you for taking the time to answer the following questions. If necessary, you may be called by the ADI Recruitment Coordinators for more information.

This form can be completed by teachers, counselors, advisors, mentors, administrators, coaches or employers. This form should not be completed by a student's relative.

Notice: All freshman applicants require a reference. Please make sure to submit this in a timely manner for the applicant to be considered.

If you have any questions, please contact Quang Nguyen at or (316) 978-6187.

Applicant Information

Applicant's First Name:

Applicant's Last Name:

To what capacity have you known the applicant and for how long?

What characteristics stand out about the applicant?

What are some areas of improvement for the applicant?

Do you have any additional comments?

Evaluator Information

Evaluator's First Name:

Evaluator's Last Name:

Evaluator's Phone:

Evaluator's Email:

Evaluator's Position/Title:

Evaluator's Employer:

Relationship to Student: