mainstages Staff Reference Form

Name of Applicant*

First NameLast Name

Reference Name*

First NameLast Name

Relationship to Applicant*

Reference Phone Number*

Area CodePhone Number

Reference email

How long have you known the applicant and in what capacity?

How well does this applicant collaborate with their peers and supervisor(s)?

In what areas do you think the applicant would excel in this position? Where do you think they would need the most support?

In what areas do you think the applicant would need the most support in this position?

Would the applicant live well in a dormitory setting?

Have you ever witnessed any inappropriate or illegal behavior on the part of the applicant?

What age group do you think would be the best fit for the applicant?

Please select a word or phrase to describe the applicant in the following categories:

Work Habits

Personality

Interaction with Peers

Leadership Ability

Temperament

Please use the scale below to rate the applicant in the following areas:

	Poor	OK	Average	Exceptional	Never Seen Better
Flexibility (Adjusting to new conditions or duties)
Personal Integrity (Honesty and good decision making)
Quality of work (Accuracy/Thoroughness)
Attitude (Disposition toward hard work and authority)
Dependability (Reliability and task completion)
Creativity (Ability to problem solve or innovate new ideas)

Please choose one of the following regarding the applicant for this job:

Strongly RecommendRecommendRecommend with hesitationDo not recommend this applicant for this job

Is there any information that would be best communicated over the phone?

YesNo

Additional Comments:

You may upload a prepared letter of recommendation here:

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