Character Reference

Thank you for providing feedback as part of our candidate evaluation process. Please note if any questions do not apply.

Applicant Info
Applicant's Name*
First Last
Your Info
Your Name*
First Last
Your Email*
Your Phone*
Employment or Relationship Information
To the best of your recollection, what were the dates of the applicant's employment (or how long have you known them)?
Begin Date (Month/Year)*
End Date (Month/Year)*

Please note if applicant is currently employed.
Job title or relationship with applicant. Description of duties if applicable.*
From your experience with the applicant, please rate the applicant in the following areas:
Ethical Conduct*
- Above Average
- Average
- Below Average
If average or below average, why?
Initiative*
- Above Average
- Average
- Below Average
If average or below average, why?
Judgment/Common Sense*
- Above Average
- Average
- Below Average
If average or below average, why?
Communication Skills*
- Above Average
- Average
- Below Average
If average or below average, why?
Dependability/Reliability*
- Above Average
- Average
- Below Average
If average or below average, why?
Flexibility/Cooperation*
- Above Average
- Average
- Below Average
If average or below average, why?
Energy/Stamina*
- Above Average
- Average
- Below Average
If average or below average, why?
Please describe the applicant’s strengths:*
Are there any areas that might need improvement?*
If applicant worked for you, why did the employment end?

Please note if applicant is still employed.
Can you recommend this applicant without any reservation for this type of work?*
- Yes
- No
If no, why?
Do we have your permission to release your comments to future/potential employers?*
- Yes
- No

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Character Reference

Applicant Info

Your Info

Employment or Relationship Information