About
Supervised Visits
About
Intake Form
Guidelines
Booking
FAQ
SAS Contact
Payment Agreement and Info
Satisfation Form
Resources
Online Training & Workshops
Books | Manuals | Videos
Refrence Checks
Menu
425, 10404 - 149 Ave
Edmonton, AB, T5E 2M5
P| 780 413 6140 F| 780 413 6455
Helping People Help Themselves
info@familyconnectionsinc.net
About
Supervised Visits
About
Intake Form
Guidelines
Booking
FAQ
SAS Contact
Payment Agreement and Info
Satisfation Form
Resources
Online Training & Workshops
Books | Manuals | Videos
Refrence Checks
Reference Checks
Hello, We are currently in the process of hiring for a position at Family Connections Inc., and one of the candidates has listed you as a reference. As part of our evaluation process, we would greatly appreciate your feedback on their performance and qualifications. We appreciate your response.
YOUR INFORMATION
Name
*
Please provide your full name
First Name
Last Name
Email
*
Phone
(###)
###
####
Your Job Title
*
APPLICANTS INFORMATION
Applicants name
*
First Name
Last Name
Employment Details
Company / Business name and your position
*
What was your relationship with the applicant?
*
What was the applicant's title and their dates of employment?
*
Did you directly supervise them?
*
YES
NO
What were the applicant's major job duties?
*
Performance and Interpersonal Skills:
How well did the applicant relate to others on the job?
*
How would you evaluate the applicant's work performance?
*
What were some of the applicant's strengths, with specific examples?
*
In what areas did the applicant need improvement?
*
How would you rate the applicants work habits in the following areas?
One being not good and five being exceptional.
Good time management
*
1
2
3
4
5
Organizational Skills
*
1
2
3
4
5
Prioritization
*
1
2
3
4
5
Managing stress
*
1
2
3
4
5
Attendance
*
1
2
3
4
5
Dependability
*
1
2
3
4
5
Punctual
*
1
2
3
4
5
Culture and Departures:
What was your perception of the applicant's contribution to the overall work culture?
*
What was the applicants reason for leaving?
*
Would you rehire this applicant?
*
Position Fit:
This applicant is being considered for a Group Care worker position. Bases on your experience, do you feel they would meet the expectations of this role?
*
Can you provide examples of how the applicant has previously demonstrated skills relevant to this position?
*
Conclusion
Do you have anything you would like to add?
Thank you so much for taking the time to honestly fill in our reference check form. If you have any questions or concerns and you need to reach me please email me at hr@familyconnectionsinc.net.
Thank you!
