Character References
Your Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Occupation
*
Gender
*
Male
Female
Relationship to Applicant
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Applicant Information
Applicant's Name
*
First Name
Last Name
How long have you known the applicant?
*
How well do you know the applicant?
*
1
2
3
4
5
Not at All
Very Well
1 is Not at All, 5 is Very Well
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Character Reference
Work-Ethic
*
1
2
3
4
5
Lazy
Hard-Working
1 is Lazy, 5 is Hard-Working
Work Initiative
*
1
2
3
4
5
Constant Direction
Self-Starter
1 is Constant Direction, 5 is Self-Starter
Social Skills
*
1
2
3
4
5
Awkward
Well Liked
1 is Awkward, 5 is Well Liked
Responsibility
*
1
2
3
4
5
Unreliable
Dependable
1 is Unreliable, 5 is Dependable
Team Skills
*
1
2
3
4
5
Causes Friction
Works Well with Others
1 is Causes Friction, 5 is Works Well with Others
Spiritual Status
*
1
2
3
4
5
Little Interest
Deep Commitment
1 is Little Interest, 5 is Deep Commitment
Honesty and Integrity
*
1
2
3
4
5
Questionable
High Moral Character
1 is Questionable, 5 is High Moral Character
Leadership Skills
*
1
2
3
4
5
Follower
Leader
1 is Follower, 5 is Leader
Willingness to Serve
*
1
2
3
4
5
Reluctant
Eager
1 is Reluctant, 5 is Eager
Emotional Stability
*
1
2
3
4
5
Unsteady
Emotionally Mature
1 is Unsteady, 5 is Emotionally Mature
Additional Comments
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