Employee Reference Form | Upward Bound

This is a confidential reference between the parties and shall not be disclosed. All records of every nature and kind are considered proprietary confidential information to be used only by Davis & Elkins College Upward Bound Program staff.

Applicant's Name*

First Last

Hidden

Applicant Name*

Reference Name*

Reference Organization*

Email*

How many years have you known the applicant?*

How do you know the applicant?*

Please rank the candidate based on the following areas:

Responds to Supervision:*

Attendance:*

Dependability:*

Willingness to assume responsibility:*

Ability to follow instructions:*

Quality of work:*

Quantity of work:*

Additional Questions:

Were there any disciplinary or performance issues? If yes, please explain:

What are the candidate’s strong points?

What are the candidate’s weak points?

If given the opportunity, would you re-employ this individual?

Yes
No

Can you think of any reason this student should not work with minors?

Any additional comments?

Signature

Date

Phone

This field is for validation purposes and should be left unchanged.