Carecorp - References

Applicant Reference Form

Hello,

Thank you for agreeing to provide a reference. The following questions will help us determine the applicant’s overall suitability for employment with CareCorp Seniors Services. We ask that you complete all the questions to the best of your knowledge.

Should you encounter any issues completing your reference or should you wish to speak to a recruiter directly, please contact us at 1.888.306.1118, Ext. 105

Your name *

You are giving a reference for (insert name) *

In what capacity do you know the applicant?

Did the applicant report to you directly and for how long?

On a scale of 1 to 5 where (1= unsatisfactory, 2 = satisfactory, 3=good, 4=very good, 5=excellent)
please rate the applicant’s performance in the following areas.

Overall performance

1

2

3

4

5

Quality of work

1

2

3

4

5

Communication

1

2

3

4

5

Teamwork

1

2

3

4

5

Acceptance of feedback & redirection

1

2

3

4

5

Reliability

1

2

3

4

5

Punctuality

1

2

3

4

5

Attendance

1

2

3

4

5

Any additional comments you would like to provide about the applicant

Email

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