BL!SS Reference Request Form

Bliss Babysitters Reference Request

You've been listed as a reference by a potential candidate for our team. Your feedback will help our onboarding team immensely in choosing whether or not the candidate is a good fit for our community of professional, compassionate and reliable babysitters and nannies. We appreciate honesty and your time.
REFERENCE REQUEST FOR *
Your Name & Position*
Relationship with candidate*
Please explain how you met the applicant and the current nature of engagement/relationship*
1. Employment Details
When did you first meet applicant (approx) *

DayMonthYear
Date
Candidate’s job title*
How long did you work with the candidate?
Reason no longer working together?*
Did the applicant take care of your children?*

YesNo
Would you re-hire the applicant to work for you?*

YesNo
Did the applicant work with you in a classroom setting?*

YesNo
Please explain why you wouldn't rehire?
What did applicant do well?*
What (if any) issues arose during the care of your children while under the applicant's care?
If you are a friend, previous co-worker or previous supervisor, would you hire/re-hire the applicant to work for you?*

YesNo
Comments/further information
Did the applicant cook/prepare meals for your children?*

YesNo
Quality of food*

I/we loved it!Some of the best food I've ever tasted!GoodSatisfactory (just ok)Not the best
General housekeeping and chores*

SuperbGoodJust okayDid not meet my expectationsN/A
2. Please Rate On The Following
General Conduct*

ExcellentGoodSatisfactoryPoor
Reliability*

ExcellentGoodSatisfactoryPoor
Timekeeping*

ExcellentGoodSatisfactoryPoor
Communication Skills*

ExcellentGoodSatisfactoryPoor
Relationship with colleagues/other staff members*

ExcellentGoodSatisfactoryPoorNot Applicable
Quality of overall work*

ExcellentGoodSatisfactoryPoor
Was the candidate’s honesty and integrity ever been brought into question?*
Level of performance with childcare/teaching*

ExcellentGoodSatisfactoryPoor
What areas do you feel the candidate needs to improve?

CommunicationProfessionalismPunctualityEthicsPunctualityDocumentationEffeciencyOther
Please explain further.*
Are you aware of any suspicious proceedings? Policy investigations or disciplinary action?*
What challenges did/have you faced in your relationship with the candidate?*
Additional comments. If you have ticked satisfactory or poor for any of the above please provide us with further explanatory information
I declare that to the best of my knowledge the information I have given in this reference is correct and complete*

I Agree
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Should be Empty:

Bliss Babysitters Reference Request

1. Employment Details

2. Please Rate On The Following