Employer Reference
LA Coast DTS
Applicant Name:
First Name
Last Name
Employer Name:
First Name
Last Name
Company Name:
Employer Email:
example@example.com
Confirm Email:
Duration of Applicant's Employment:
Position of Applicant:
Please comment on the following qualities to the best of your knowledge.
Rows
Unknown
Poor
Average
Above Average
Self-Discipline
Teachable
Reliability
Punctual
Integrity
Perseverance
Stewardship
Cleanliness
Work Ethic
Flexibility
Initiative
Team Player
Attitude
Comments:
Does the applicant display any of these qualities?
Rows
Unknown
Observed at Times
Often
Not an Issue
Argumentative
Procrastination
Dishonest
Irritable
Easily Angered
Questionable Character
Comments:
Is the applicant reliable? Please explain.
How does the applicant respond to authority?
Comment on the applicant's sensitivity to needs and attitudes of others?
How does the applicant relate with others in the workplace?
Would you recommend this person to work with us?
Are there any other concerns about the applicant?
Signature
Phone Number
Please enter a valid phone number.
Submit
Should be Empty: