SECONDARY REFERENCE QUESTIONNAIRE

TIME-SENSITIVE- PLEASE COMPLETE WITHIN 48 HOURS

YOUR NAME WAS PROVIDED BY SOMEONE WHO FELT YOU MAY KNOW THE APPLICANT AND COULD ANSWER A FEW QUESTIONS.

YOUR RESPONSES ARE CONFIDENTIAL AND NOT SHARED WITH THE APPLICANT

Your name

Email

example@example.com

Phone Number

Area CodePhone Number

1. Applicant's Name

2. How do you know the applicant? Friend, coworker, professional contact? Please tell use how long you have known the applicant.

3. How would you describe the applicant to someone else?

4. How is the applicant's communication skills? Verbal, Email, Social Networking, Texting.

5. Can the applicant adapt and handle new material?

6. How does the applicant treat people in general?

7. Have you seen the applicant express any behavior of bias or prejudice?

8. Is the applicant a person with character, integrity and honesty?

9. How would you describe the applicant's judgement and decision making process?

10. Have you ever known the applicant to behave in a reckless or impulsive manner?

11. Is the applicant's interaction with persons of different ethnicity and or gender positive? Has the applicant ever used derogatory language, even as a joke?

12. Do you feel the applicant is dependable?

13. Can the applicant be assertive and confront a problem when necessary?

14. Without sharing any medical information, are you aware of any substance abuse issues with the applicant in the last 8 years?

15. Is the applicant confident in themselves. Example?

16. What is this applicant's strongest character feature?

17. What is this applicant's weakest character feature?

18. Are you aware of the applicant having any negative contact with law enforcement?

19. Can you think of any reason why this applicant could not perform a job in public safety?

20. Would you recommend the applicant for this position? Why?

21. We, "Thank You" for your candor and your time. Feel free to tell us more about the applicant outside the scope of the questions above.

22. As of 1.1.2023, the State of California requires background investigators to develop secondary references. These are people you may know that also know the applicant and can provide additional information. These individuals are probably not listed in the applicant's PHQ. Please provide a name, phone, and email address and their association with the applicant.

Name of the Investigator who provided this questionnaire?*

Please verify that you are human*

GUARDIAN