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2006 Employment Application Packet

Please print TWO copies of the following form.

Personal Reference Form

Candidate:  Please fill out this top portion and send the entire form to your personal reference.

Candidate Name:
Job Position Sought with SMP:
Relationship to Reference:

 


The candidate, above, is being considered for employment at Steens Mountain Packers, near Frenchglen, Oregon.  This candidate has chosen to use you as a personal reference.  We would appreciate you taking the time to provide the information requested below and then return this form to the applicant in a signed and sealed envelope at your earliest convenience.  Thank you for your time.

1.  How long have you known the above listed candidate?________________________

2.  In what capacity have you known the candidate?_____________________________

_______________________________________________________________________

3.  What is your occupation?_________________________________________________

Please check the appropriate box in each table section below which in your judgment most accurately describes the candidate.

4.  How would you best describe the candidate's Initiative?

Requires direction, very dependent

Needs Occasional Direction

Does Assigned Work of Own Accord

Completes Suggested Extra Work

Original, Independent, Imaginative

Have Not Observed or Cannot Evaluate

           

Comments:___________________________________________________________________

5.  How would you best describe the candidate's Personal Appearance and Cleanliness?

Careless, Slovenly, or Discourteous

Below Average

Usually Neat, Careful, Courteous

Above Average

Impressive, Neat, Refined Presentation

Have Not Observed or Cannot Evaluate

           

Comments:___________________________________________________________________

6.  How would you best describe the candidate's Punctuality?

Never on Time

Frequently Late

Seldom Late

Always on Time

Arrives Early

Have Not Observed or Cannot Evaluate

           

Comments:___________________________________________________________________

7.  How would you best describe the candidate's Personal and Social Maturity?

Immature

Below Average

Average Maturity

Above Average

Exceptionally Mature

Have Not Observed or Cannot Evaluate

           

Comments:___________________________________________________________________

8.  How would you best describe the candidate's Emotional Well Being?

Unstable, very excitable

Easily Disturbed

Usually Reliable

Stable, Well Balanced

Complete Stability, Balanced

Have Not Observed or Cannot Evaluate

           

Comments:___________________________________________________________________

9.  How would you best describe the candidate's Leadership Abilities?

Probably Unable to Lead

Satisfied to Follow

Occasionally a Leader

Frequently a Leader

Outstanding Leader

Have Not Observed or Cannot Evaluate

           

Comments:___________________________________________________________________

10.  How would you best describe the candidate's Motivation?

Is Uncertain of Career Goals

Simply Wants to be Professional (any type)

Looking for High Financial Rewards

Dedicated Worker, Income of Secondary Importance

Is Among the Most Motivated

Have Not Observed or Cannot Evaluate

           

Comments:___________________________________________________________________

11.  How would you best describe the candidate's Communication Abilities?

Inarticulate, Incoherent

Below Average Ability

Moderately Articulate

Above Average Ability

Articulate, Clear, Fluent

Have Not Observed or Cannot Evaluate

           

Comments:___________________________________________________________________

12.  Assuming the individual was an applicant in your field of business, is he/she the type of person you would employ?

 

13.  From your observations, how would you describe this individual's ability to get along with other people?

 

Please feel free to add any additional comments to help us get to know the applicant.

 

Completed By:___________________________  Date:_________________

Address:_____________________________________________________________

Phone:____________________________________

 

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