Reference Evaluation

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Form filled out Date and time
Applicant's Information
First Name*
Last Name*
Reference's Information
First Name*
Last Name*
Phone Number
Email Address*
Reference Evaluation
Employment Start Date*
MM slash DD slash YYYY
Currently Employed*
What were the applicant’s job duties at your company?*
What was the applicant's reason for leaving your company?*
What would you consider to be the applicant's key strengths?*
What would you consider to be the applicant’s areas for improvement?*
How would you describe the applicant's punctuality and work attendance? In 90 days of work, how often did the applicant miss work?*
Do you feel the applicant could handle the pressure of multi-tasking in a loud environment? Please support with an example.*
How would you rate the applicant's energy level and stamina on a scale of 1 to 5? 1 being poor and 5 being excellent.*
Would you re-employ the applicant?*
Is there anything else you would like to add about the applicant?
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(480) 961-7946 (SWIM)

Gold Medal Swim School
6909 West Ray Road #27,
Chandler, AZ 85226