Housekeeping Reference Thank you for providing feedback as part of our candidate evaluation process. Applicant InfoApplicant's Name* First Last Your InfoYour Name* First Last Your Email* Your Phone*Employment InfoTo the best of your recollection, what were the dates of the applicant's employment?Begin Date (Month/Year - 00/00)* End Date (Month/Year - 00/00)* Please note if applicant is currently employed.Please describe the housekeeper duties that she/he performed.*On a scale of 1-10 (10 being the best), please rate the applicant in the following areas:Are you related to the applicant? Was the applicant trustworthy? Please feel free to note any details or examples. Was the applicant proactive (showed initiative)? Please feel free to note any details or examples. Was the applicant professional? Please feel free to note any details or examples. Did the applicant demonstrate good judgment and common sense? Please feel free to note any details or examples. Did the applicant demonstrate strong communication skills? Please feel free to note any details or examples. Did the applicant have excellent attention to detail? Please feel free to note any details or examples. Was the applicant dependable and punctual? Was the applicant flexible and cooperative, and did they take direction well? Please feel free to note any details or examples. Did the applicant demonstrate energy and stamina in the position? Please feel free to note any details or examples. Did the applicant work alone or with a team of housekeepers? Please feel free to note any details or examples. Was the applicant in a leadership role and if so please describe their role. What is the square footage of the home(s) that she/he cleaned?* How many hours per week did she/he work for you?* Please describe the applicant’s strengths:*Are there any areas that might need improvement?*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 this reference to potential household employers?* Yes - Share for Employment Reasons Yes - Share without my Personal Information Do not share (may preclude them from getting a job) Do future employers have permission to contact you in reference to applicant?* Yes No
