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:
The applicant is applying for a position of added responsibility with Regina Catholic School Division and has requested that you provide a professional reference.

Please complete the following form thoroughly and honestly. For each rating area, include brief examples or evidence to support your assessment whenever possible. Once completed, the form will automatically be submitted to the Executive Assistant, Human Resource Services.

Thank you for your assistance. 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.
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POSITION OF ADDED RESPONSIBILITY REFERENCE CHECK