Untitled Document

Employee Recommendation Form

This is a confidential form that the applicant will not see.

* indicates a required field

Applicant's Name *

Personal Information

Your Name *
Position/Title or Relationship to Applicant *
Street Address *
City *
State *
Zip *
Phone *
Email *


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

If you are a past or present employer of the applicant please complete the following:
Dates Employed to
Position and Responsibilities
Would you rehire? Yes    No

Please rate the following:
Ability to Express His/Her Faith
Ability to Express Thoughts and Ideas
Ability to Work with Children
Ability to Work with Adults
Attention to Detail
Ability to Work Under Stress
Ability to Work with Little Supervision
Overall Work Performance
Small Group Leadership
Large Group Leadership
Ability to Work with Peers
Ability to Deal with Conflict Effectively

How would you evaluate the applicant in the following categories?
Christian Faith and commitment
Academic competence
Ability to communicate
Emotional maturity
Ability to work with others

Does the applicant, to your knowledge, use alcohol to excess or use drugs?
Yes    No

Are you aware of any reason why this person should not have children under their independent care in an extended residential situation?
Yes    No

If yes, please explain:

Please describe the applicant's openness to learn, reliability, and good judgment:

How would you summarize this person's strengths?

How would you summarize this person's areas for growth and development?

How would you summarize this person's weaknesses?

Statement of Reference:
Please write a short statement of reference for the applicant in the space below and sign the bottom of this form. Thank you for your time.

  I certify that the above information is true and accurate. *

Feedback Form