EmailMeForm
Reference Form
FCA Baseball respectfully asks that you complete this questionnaire to the best of your knowledge, being honest and fair in your evaluation. Your opinion is vital to the success of our program and to the applicant with whom you have been requested to be a reference. Thank you for taking the time to respond. Your answers will be kept strictly confidential.
GENERAL INFORMATION
Name:
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First
Last
Date:
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Home Phone
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Cell Phone:
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Email:
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Current Employer:
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Current Position:
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APPLICANT INFORMATION
Applicant Name:
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First
Last
How long have you known this applicant:
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Please describe your current relationship to applicant:
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Please describe what you feel are the applicant’s strengths and weaknesses:
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To the best of your knowledge, how does this person respond to adverse situations?
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Do you feel that this applicant would be a positive role model for young kids (5-14 yr. old)? How about with his peers? Please explain:
*
In your opinion, how would you rate this applicant’s ability to communicate effectively:
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Describe the applicant’s work ethic:
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How would you describe the applicant’s spiritual life (i.e. attitude, behavior, church involvement, prayer life, Bible Studies, etc…)?
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Social Maturity
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Leadership Ability
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Working with others
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Spiritual Maturity
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Serving Others
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N/A
Poor
Fair
Average
Good
Excellent
Attitude
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Common Sense
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Judgment
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Self-Discipline
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Flexibility
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Conscientiousness
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Teachability
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Humbleness
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Emotional Stability
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Self-Motivation
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N/A
Poor
Fair
Average
Good
Excellent
Comment:
Mental Toughenss
*
N/A
Poor
Fair
Average
Good
Excellent
Comment:
Please list any other comments:
THANK YOU.
For any questions or concerns please call:
Ben Orr, General Manager, So. Cal. Catch
So. Cal. FCA Baseball Regional Director
562-686-8262 or email borr@fca.org
