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References Form
This is a reference verification form for Jumpstart Enrichment for Tomorrow's Students, Inc, sent to you by an applicant for employment.
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Email
*
Your email
Form sent to you by/for:
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Your answer
Your Name
*
Your answer
Please list your relation to applicant.
Note that we will not accept references who are family members of the applicant.
Your answer
Have you seen the applicant show any of the problems listed below? Mark all that you have seen.
Behavioral problems
Failure to cooperate
Lack of self-discipline
Racial prejudice
Lack of patience
Lack of motivation
Habitually late
Chronic absenteeism
Dishonesty
What are the positive aspects of the applicant that you are aware of, especially as it relates to children and work?
Your answer
Would you recommend this person for employment in our agency, knowing that they will be working directly or indirectly with children?
Yes
No
Maybe
Clear selection
Please make any other comments you feel would be helpful to us in our decision to hire this applicant.
Your answer
Send me a copy of my responses.
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