Reference Check

POSITION OF ADDED RESPONSIBILITY REFERENCE CHECK
Applicant:
Position being applied for:
Name of Referee:
Position of Referee:
Capacity applicant is know to the referee:
Length of time applicant is know to the referee:
{typeA} is applying for the position of {applicant10} in the Regina Catholic School Division. {typeA} is requesting that you provide a professional reference to the Regina Catholic School Division. Please complete the following form. It will automatically submit to the Executive Assistant - Human Resource Services.

Your assistance in providing a reference is appreciated. The information you provide will be shared with the selection committee and treated as a confidential reference.
Please complete the following: For each statement, please click on the applicable high-low rating box. In the "Evidence" box, please elaborate by citing specific examples and/or commenting. If you are unable to provide feedback on any items, please click on the "Not Applicable" (N/A) box.
Catholic Leadership (embeds their faith into their daily practices)

5 (High)432 (Low)1 (Low)N/A
Evidence:

0/200
Instructional Leadership (facilitates leadership in curriculum, instruction and/or professional development)

5 (High)432 (Low)1 (Low)N/A
Evidence:

0/200
Evidence of leadership practices / potential

5 (High)432 (Low)1 (Low)N/A
Evidence:

0/200
Participates as both a leader and a team member

5 (High)432 (Low)1 (Low)N/A
Evidence:

0/200
Continues to learn and grow professionally

5 (High)432 (Low)1 (Low)N/A
Evidence:

0/200
Develops appropriate effective relationships with all stakeholders

5 (High)432 (Low)1 (Low)N/A
Evidence:

0/200
Supports and promotes the current division strategic plan (positive attitude toward the school and school division)

5 (High)432 (Low)1 (Low)N/A
Evidence:

0/200
Please provide any additional comments that you deem important for our organization to know.
Thank you for taking the time to complete this form.
Should be Empty:

POSITION OF ADDED RESPONSIBILITY REFERENCE CHECK