Reference Questionnaire

Thank you for taking the time to submit a professional reference for the candidate below.

Candidate Name(Required)

First Last

Your Name(Required)

First Last

Email(Required)

Phone(Required)

How do you know this candidate?(Required)

When did the candidate start working with you?(Required)

Currently still employed by me(Required)

Yes

When did the candidate stop working with you?(Required)

Was/is the candidate:(Required)

Full-time

Part-time

Why did the candidate stop working with you?(Required)

How many children do you have? Please list the age/s of the children at the time the candidate started working with you.(Required)

Please describe the candidate's professionalism as it relates to you and your family.(Required)

How was the candidate's punctuality?(Required)

Please describe the candidate's reliability and trustworthiness.(Required)

Please describe the candidate's respectfulness to you and how she/he responded to instructions.(Required)

What are some of the candidate's highlights?(Required)

Would you hire the candidate again? Why or why not?(Required)

If a potential family requests to speak to you directly as a reference, would you be willing to speak with them?(Required)

Yes

Do you have any additional or comments to add about candidate?

Yes

Please include your comments here.(Required)