KES Employment or Professional Reference ... - Kelly Services
EMPLOYMENT OR PROFESSIONAL REFERENCE VERIFICATION
The candidate named below applied for a position with Kelly Educational Staffing and provided your name as a reference. We appreciate your assistance with verifying the information provided and assessing their qualifications.. Thank you.
|Candidate Information |
|Candidate Name: |Employment Dates: / - / |
|Position/Job Title: |Salary/Pay Rate: $ Per |
|Job Responsibilities: |
|Reference Information (Please enter the following information for the person completing this verification.) |
|Name: |Title: |Telephone No.: |
|How are you acquainted with the candidate named above? Supervisory role Co-worker Other: |
|Signature: Date: |
|Reference Questions |
|How are you acquainted with the candidate? |
|Supervisory role (Verify dates of candidate’s previous employment.) |
|Coworker |
|Other (e.g., minister, doctor, teacher, lawyer) |
|Note: Friends are not acceptable references. The candidate must have worked with the reference or must know the reference on a professional basis. |
|When did you work with the candidate? |
|What were the candidate’s main job duties and responsibilities? |
|Why did the candidate leave your organization? |
|Were there any attendance problems? Yes No |
|If Yes, please explain: |
|Reference Questions (cont’d.) |
|Have you had the chance to watch the candidate interact with children? Yes No |
|If Yes, were the interactions positive? Yes No |
|Why or why not? |
|Do you believe the candidate would be suitable to work at a school, in direct contact with children? |
|Yes No |
|Why or why not? |
|Would you have any reservations about the candidate in such a position? Yes No |
|If Yes, please explain: |
|What other comments would you like to add regarding the candidate? |
|Performance Assessment (On a scale of 1 to 5, please rate the following aspects of the candidate’s performance.) |
|1 - Poor 2 - Below Average 3 - Average 4 - Above Average 5 - Excellent N/A - Not applicable |
|Task |1 |2 |3 |4 |5 |N/A |
|Acted as an effective role model | | | | | | |
|Communicated verbally | | | | | | |
|Exhibited high expectations for self and others | | | | | | |
|Maintained accurate records | | | | | | |
|Solved problems | | | | | | |
|Worked with other staff | | | | | | |
|Worked with supervisors | | | | | | |
|Communicated with parents | | | | | | |
|Controlled and maintained discipline in a classroom | | | | | | |
|Got involved in extra-curricular activities | | | | | | |
|Used multiple teaching strategies | | | | | | |
|Worked with children | | | | | | |
|Overall rating of the candidate | | | | | | |
|If you could rehire this person, would you do so? Yes With Reservation No |
|If No or With Reservation, please explain: |
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