Professional Reference Form
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Your Name *
Applicant's Name *
Relationship to Applicant *
Phone Number *
Email Address *
How long have you known the applicant? *
What is the applicant's attitude toward work? *
Does the applicant have a willingness to learn? *
Please list three strengths of the applicant. *
Please list any tendencies which might reduce the effectiveness of the applicant. *
Would you feel confident in hiring/rehiring this person or having this person as a student for another year? *
If you answered no to the above question, please elaborate here:
Would you want your child or teenager placed under the direct charge, influence or care of this individual? *
Required
Please describe any reservations you have about this applicant supervising children.
To your knowledge, does the applicant smoke, drink alcohol or use illegal drugs? *
How would you describe the applicant's judgment? *
How would you describe the applicant's dependability. *
How would you describe the applicant's leadership potential? *
How would you describe the applicant's cooperation? *
How would you describe the applicant's initiative? *
How would you describe the applicant's intellect? *
How would you describe the applicant's personal presentation? *
How would you describe the applicant's personality? *
How would you describe the applicant's emotional stability? *
How would you describe the applicant's temper? *
How would you describe the applicant's maturity? *
How would you describe the applicant's adaptability? *
Please share any additional comments:
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