| Thank you for taking the time to complete this reference form for the potential staff member listed below. Once you press the "Submit" button at the bottom, this reference form will be sent directly to us. Your confidential evaluation is solicited, and we invite you to give us your comments regarding the qualifications of the applicant or any other pertinent information you feel necessary. Mahalo! |
| Please enter the name of the applicant for whom you are giving reference: |
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| How long have you know the applicant? |
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| In what capacity have you known the applicant (i.e., employer, teacher, mentor, family friend, etc.)? |
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Please check the best choice that describes the applicant in the following areas: |
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Leadership Ability |
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| Emotional Temperament |
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| Personality |
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| Social Interaction |
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On a scale from one to four, please rate the applicant in the following areas: |
| Honesty and personal integrity |
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| Ability to work with others |
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| Attitude toward authority |
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| Attitude toward hard work |
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| Personal appearance |
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| Ability to work with children |
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| Follows directions |
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| Communication skills |
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| Patience |
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| Tact |
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| Courtesy |
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| Maturity |
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| Initiative |
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| Punctuality |
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| Dependability |
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| Sense of humor |
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| Ability to adapt |
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| Respect/concern for others |
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In the following four areas, please comment about the applicant: |
| Attitude - A reflection of the applicant's disposition toward work and authority. |
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| Adaptability - A reflection of the applicant's ability to adjust to meet the challengesof new conditions, duties or responsibilities. |
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| Dependability - A reflection of the applicant's reliance and trustworthiness in completing tasks, duties and responsibilities. |
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| Judgement - A reflection of the applicant's judgement concerning overall job duties, co-workers, company policies and procedures. |
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| What are the applicant's strong points? |
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| Given that we all need to improve in some way, what are some areas that require improvement? |
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| Please give us any noteworthy accomplishments or qualities: |
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| Would you place your child under the direct supervision of this applicant? |
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| Do you recommend this applicant for a position on Homelani's summer ministry team? |
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| Today's date (mm/dd/yyyy) |
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| What is your name? |
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| What is your title? |
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| What is your phone number? |
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Please enter your email address: |
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