Name of Candidate
*
First Name
Last Name
Name of Reference
*
First Name
Last Name
Phone of Reference:
*
(###)
###
####
Title of Your Position
*
Your Organization/Company Name:
*
1. How well do you know the candidate:
*
Slightly
Well
Very well
2. For how long did the candidate work for the company/organization?
*
3. When did the candidate work for the company/organization?
*
4. How many hours per week did you work directly with the candidate in total and for how many years?
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5. Why did the candidate leave the company/organization?
*
6. Would you rehire the candidate if the opportunity arose?
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Yes
No
7. What was his/her position? Can you describe the job responsibilities?
*
8. What was his/her attitude like while at your company??
*
9. Was the candidate promoted while with your company? If yes, please explain.
*
10. As an employee, what would customers say about him/her?
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11. As an employee, what would other staff members say about him/her?*
12. Did you evaluate the candidate's work performance?
*
Yes
No
13. What are his/her strengths?
*
14. What are the areas we need to help him/her grow in (needs further development)?
*
15. Does the candidate have any disciplinary notes on file?
*
16. Did the candidate take initiative to go above and beyond in his/her duties?
*
17. How would you describe the candidate's personality?
*
18. Has she/he had an accident at work? If yes, please explain.
*
19. Are there any issues that you are aware of that impacted his/her job performance?
*
20. How does the candidate perform under pressure?
*
21. What wage per hour did the individual receive for their duties?
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Quality of Work
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Ability to Take Directions
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Organizational Skills
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Willingness to Learn New Skills
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Punctuality/Attendance
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Reliability/Commitment
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Leadership Qualities
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Familiarity with Microsoft Word.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Familiarity with Microsoft Excel.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Familiarity with Google services (Docs, Drive, Sheets, etc.)
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Reading comprehension skills.
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1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Attention to detail.
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1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Ability to do office work (printing, filing, editing documents, organizing and maintaining the office, etc.)
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Ability to enter/edit information in a database.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Ability to conduct basic research.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Create and schedule emails and social media.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Ability to monitor social media platforms for client inquiries, concerns, and questions.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Ability to perform personal assistant tasks such as booking appointments, buying items online, etc.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Ability to work closely with an owner/director.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Ability to stay calm under pressure.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Ability to multitask.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Flexibility.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Patience.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Competency with technology.
*
1 - Marginal
2 - Satisfactory
3 - Very Good
4 - Excellent
N/A
Additional Comments: