Better Days Senior Living - Recommendation Form

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Full Name of Applicant *

Name of Reference *

Professional Role of Reference (supervisor, coworker) *

Describe the position the applicant had with your company *

Describe the applicants work ethic. *

What were the applicants strengths in the position? *

What were the applicants weaknesses you were working on with him/her? *

Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas: Attendance *

Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas: Punctuality *

Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas: Teamwork *

Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas: Professionalism *

Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas: Ability to get along with others *

Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas: Attention to Detail *

Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas: Flexibility *

Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas: Kindness to seniors *

Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas: Ability to take correction *

Would you rehire this applicant again? *

Is there anything else you would like to tell us about this applicant? *

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