Reference Form – EmployerVeronica Jesuthasan2019-06-28T15:26:06+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* MM slash DD slash YYYY To Date* 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. BehaviourJob Competence* Outstanding Above Average Average Below Average Incompetent Don't Know Additional Comments Emotional Maturity*Cross cultural workers often work under hard conditions. They need to be adaptable to different customs, food, living conditions and to a different climate. They work under strains of various kinds and under different political situations and among different people. Thinking of these factors, how would you rate this candidate on emotional maturity and stability, on ability to work alone or under pressure or to cope with unusual difficulties? Outstanding Above Average Average Below Average Poor Don't Know Additional Comments Relationships to Other People*Cross cultural workers usually work in teams, sometimes in isolated, rural locations and sometimes in large cities. They cooperate with local workers in churches and schools. They live and work with people of other races and different classes of society. How do you evaluate this candidate in interpersonal relationships? Outstanding Above Average Average Below Average Poor Don't Know Additional Comments Honest* Outstanding Above Average Average Below Average Poor Don't Know Additional Comments Courteous* Outstanding Above Average Average Below Average Poor Don't Know Additional Comments Personally Neat* Outstanding Above Average Average Below Average Poor Don't Know Additional Comments Self-Discipline* Outstanding Above Average Average Below Average Poor Don't Know Additional Comments Punctual* Outstanding Above Average Average Below Average Poor Don't Know Additional Comments Cooperative* Outstanding Above Average Average Below Average Poor Don't Know Additional Comments Thoughtful of Others* Outstanding Above Average Average Below Average Poor Don't Know Additional Comments Patient* Outstanding Above Average Average Below Average Poor Don't Know Additional Comments Reliable* Outstanding Above Average Average Below Average Poor Don't Know Additional Comments Consent* By checking this box, I agree that everything is true and accurate.Signature (Name)* Date MM slash DD slash YYYY