2006 Employment Application Packet
Please print TWO copies of the following form.
Work Reference Form
Candidate: Please fill out this top portion and send the entire form to your work reference.
| Candidate Name: | |
| Job Position Sought with SMP: | |
| Company Name: | |
| Company Address: | |
| Supervisor Name & Title: | |
| Your Job Position:
|
Your Job Duties:
|
| Date Started Employment: | Date Ended Employment: |
The candidate, above, is being considered for employment at Steens Mountain Packers, near Frenchglen, Oregon. This candidate has chosen to use you as a work 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. What is the quality of the candidate's work on the job?
2. Does the candidate have the ability to give and/or take direction? Please explain in detail.
3. Does the candidate exhibit cooperativeness in the workplace? Please explain in detail.
4. Does the candidate exhibit the ability to work with co-workers and supervisors? Please explain in detail.
5. Is the candidate dependable? Please explain in detail.
6. What was the reason for the candidate leaving?
7. Is the candidate eligible for rehire? Please explain in detail.
Please check the appropriate box in each table section below which in your judgment most accurately describes the candidate.
8. 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:___________________________________________________________________
9. 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:___________________________________________________________________
10. 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:___________________________________________________________________
11. 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:___________________________________________________________________
12. 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:___________________________________________________________________
13. 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:___________________________________________________________________
14. 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:___________________________________________________________________
15. 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:___________________________________________________________________
Please give any additional comments that may be valuable in our evaluation of the applicant.
Completed By:___________________________ Date:_________________
Company Name:________________________________
Address:_____________________________________________________________
Phone:____________________________________
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