Intern Reference Check

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Applicant's Name *

Your Name *

Your Phone Number - Mobile *

Your Email - Work *

How long have you known the applicant? *

In what capacity? (teacher, mentor, employer) *

ATTITUDE - A reflection of the applicant's disposition towards work and those in authority *

5 - Excellent

4 - Good

3 - Average

2 - Not Nad

1 - Poor

N/A

Please make some comments on the applicant work attitude *

FLEXIBILITY - A reflection of the applicant's ability to adjust to meet the new challenges, duties, and responsibilities.

5 - Excellent

4 - Good

3 - Average

2 - Not Bad

1 - Poor

N/A

Clear selection

Please make some comments on the applicant's flexibility *

WORK ETHIC - A reflection of the applicant's daily response to duties and tasks as assigned *

5 - Excellent

4 - Good

3 - Average

2 - Not Bad

1 - Poor

N/A

Please make some comments on the applicant's work ethic *

What are the applicant's greatest strengths? *

What are the applicant's greatest weaknesses? *

Please Select the items that the applicant show exceptional aptitude. *

Initiative

Dependability

Teachability

Honesty

Conflict Management

Compassion

Creativity

Enthusiasm

Required

Pleased make comments on any of the above areas where the applicant could grow.

Please select the items that the applicant shows exceptional leadership gifting *

Leadership

Personal Integrity

Judgement/Discernment

Responsibility

Ability to work in a team

Ability to give good counsel

Attitude towards authority

Emotional Stability

Required

Please make comments on any of the above areas as the applicant could grow.

Would you have any concerns or reservations about the applicant joining Fight4Freedom? *

Please rate your overall recommendation of the applicant *

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