Personal Reference for Staff
Your First Name (*)

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Your Last Name (*)

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Your Address (*)

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Your City, State and Zip Code (*)

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Your Email (*)

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Your Phone Number

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Candidate's Name (*)

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Relation to Candidate (Cannot be a family member) (*)

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Please comment on the candidate's ability to work with various age levels. (*)

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Please comment on the candidate's overall sense of responsibility: (*)

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Please comment on the candidate's general outlook on life and stability: (*)

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Please comment on the candidate's previous related experience (at home, at work or in the community): (*)

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Candidate's special skills, abilities and attributes that will help him/her in the desired position: (*)

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Are there any limitations that would affect the candidate's performance? If so, what are they? (*)

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Do you have any other comments about this candidate? (*)

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