Reference Forms

Reference Form 3

Please fill out the reference form below for each applicant. The form will be submitted directly to Human Resources Employment Division. For additional questions, please email Janet Hill or Dana Whittle.

Applicant Rating:

Please rate the applicant on as Below Expectations, Meets Expectations or Above Expectations.

If you do not have information on any item, please choose “Not Applicable (NA)”.

Reference Form (your information)






Applicant Information




MM/YY


Applicant Rating

Below Meets Exceeds N/A

Below Meets Exceeds NA

Below Meets Exceeds NA

Below Meets Exceeds NA

Below Meets Exceeds NA

Below Meets Exceeds NA

Below Meets Exceeds NA

Below Meets Exceeds NA

Below Meets Exceeds NA

Below Meets Exceeds NA

Below Meets Exceeds NA

Below Meets Exceeds NA

Overall Recommendation