EmailMeForm
The Pines CIT Reference Form
Applicant's Name
*
Your Name
*
Phone
*
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Email
*
How long have you known the applicant? And in what capacity?
*
How would you assess this person's ability to perform under stressful conditions (i.e. long hours, elevated noise levels, outdoor setting, etc.)?
*
What one thing about this person's experience, skills, or work style would you change?
*
What is it about this person's experience, skills, or work style that impresses you most?
*
Are you aware of any reasons this person should NOT work with youth ages 7-17? Please explain:
*
Maturity
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Relationship with peers
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Relationship with children
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Lives out their faith every day
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Relationship with supervisor
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Communication skills
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Competence in conflict resolution
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Punctuality and attendance
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Relationship with Catholic Church
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Teamwork
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Ability to accept feedback
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Humility
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Ability to cope with stress
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Integrity
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Assertiveness
*
Please rate the applicant
Great
Good
Fair
Poor
NA
Former employee?
*
Please select
Yes
No
Dates of Employment
Type of Employment
Position Held
Reason for leaving
Would you rehire this person?
Please select
Yes
No
N/A
Do you have any prayer requests?
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