Reference Check

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Name of Applicant:*

Name of Reference:*

Email:*

Reference Phone & Extension:*

Title:

Organization / Relationship:

How well / long have you known the applicant? In what capacity?*

What is your impression of their work ethics?*

Describe their oral, written and listening abilities?*

Describe their interpersonal skills? What is their style of interacting with people in authority? What it the general disposition? Please describe their attitude? Do they take responsibility for their actions?*

How are their decision-making skills? Do they exercise sound judgment?*

How is their ability to resolve conflict and deal with stress?*

Are they dependable and punctual?*

Are they self-motivated? Do they take initiative?*

Additional Comments- Anything else that you would like to tell us about the applicant? Do you feel they would be suited to work on a help/support/distress phone line?

Today's Date*

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