Professional ReferencePlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Applicant: Please check one box and sign before disseminating this form.I waive my right to view this completed form.I do not waive my right to view this completed form.Applicant's Name *FirstLastPosition Desired applicant 4. Works Details of RequestThe individual named above has completed an application for a position with Liberty Christian School and included your name as a reference. In the interest of providing the best education for the children of this school, please provide your frank and honest opinion of the applicant. Please fax or mail it to the attention of the Superintendent of Liberty Christian School.1. How long have you known this applicant? *2. In what capacity do you know this applicant? *3. What words could you use to describe this applicant? *4. What positive contributions would this applicant be likely to make at our school? *5. Would you hire (or re-hire) this applicant? *--- Select Choice ---YesNoPlease choose the appropriate answer for each question below.INTEGRITY: Honest, truthful, above reproach *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementJUDGMENT: Common sense, clear thinking, ability to draw sound conclusions, tactful *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementDEPENDABILITY: Responsible, prompt, reliable *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementWORK HABITS: Mannerly, neat, organized, courteous *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementCOMPETENCE: Effective, proficient, qualified to perform in position desired *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementCONFIDENTIALITY: Trustworthy, appropriate with sensitive information, non-gossip *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementPEER RELATIONS: Works well with others, team player, cooperative, not domineering *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementDEMEANOR: Works well under pressure, positive attitude *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementCOMMUNICATION: Can effectively communicate in oral and written forms *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementLEADERSHIP: Has leadership ability with students and parents; demonstrates initiative *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementAny additional comments or information:Your informationName *FirstLastEmail - Referer *PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSignature Clear SignatureToday's date * Please list another individual who knows this applicant well and could serve as a secondary reference.Name *FirstLastPhoneEmail *Thank you for your time!Send Request
