Reference Form – EmployerErica Mair2019-06-28T15:26:06+00:00 Reference Form - Employer Name of Applicant* First Last Name of Person Providing Reference* First Last PhoneThe Selection & Training Department of SIM would appreciate receiving your evaluation of the person named above. We do value your candid estimate of this applicant. This information will be considered confidential. Dates of Employment:From Date* Date Format: MM slash DD slash YYYY To Date* Date Format: MM slash DD slash YYYY Last Employment Position Held*Description of Job Duties and Responsibilities*Please evaluate the applicant as fairly as you are able by marking your ratings on the following continuums. If you don't feel qualified to give an answer in a particular area, please mark it Don't Know. Your responses will be kept confidential. EMPLOYMENT REVIEWJob Competence*0-Incompetent (Failed on many occasions), 10-Outstanding (Always does an excellent job)012345678910Don't KnowAdditional CommentsEmotional Maturity*0 - Incompetent (Has emotional outbursts), 10 - Outstanding (Functions well under stress)012345678910Don't KnowAdditional CommentsRelationships to Other People*0 - Incompetent (Does not work well with others), 10 - Outstanding (Can lead or follow others)012345678910Don't KnowAdditional CommentsHonesty*0 - Incompetent, 10 - Outstanding012345678910Don't KnowAdditional CommentsCourteous*0 - Incompetent, 10 - Outstanding012345678910Don't KnowAdditional CommentsPersonally Neat*0 - Incompetent, 10 - Outstanding012345678910Don't KnowAdditional CommentsSelf-Discipline*0 - Incompetent, 10 - Outstanding012345678910Don't KnowAdditional CommentsPunctional*0 - Incompetent, 10 - Outstanding012345678910Don't KnowAdditional CommentsCooperative*0 - Incompetent, 10 - Outstanding012345678910Don't KnowAdditional CommentsThoughtful of Others*0 - Incompetent, 10 - Outstanding012345678910Don't KnowAdditional CommentsPatient*0 - Incompetent, 10 - Outstanding012345678910Don't KnowAdditional CommentsReliable*0 - Incompetent, 10 - Outstanding012345678910Don't KnowAdditional CommentsComments on any of the aboveConsent* By checking this box, I agree that everything is true and accurate.Signature (Name)*Date Date Format: MM slash DD slash YYYY
