VON Canada - Reference Check Form

Return results to (Hiring Manager's name from the email): *

Candidate's Information

Candidate's First Name *

Candidate's Last Name *

Where did you work together? *

You worked together from (please enter start date): *

to (please enter end date): *

Which position did they hold with your organization? *

How many hours per week did they work (on average)? *

Please select: *

I was the candidate's

Additional Employment Information

Please select one of the following options (N/A, Never, Rarely, Sometimes, Often, Always): *

	N/A	Never	Rarely	Sometimes	Often	Always
Demonstrates strong morals and work ethics, including reliability and dependability?	N/A	Never	Rarely	Sometimes	Often	Always
Flexible and adaptable to organizational change?	N/A	Never	Rarely	Sometimes	Often	Always
Maintains a positive and professional attitude?	N/A	Never	Rarely	Sometimes	Often	Always
Treats people with fairness and respect?	N/A	Never	Rarely	Sometimes	Often	Always
Listens well and communicates professionally with clients, team members and supervisors?	N/A	Never	Rarely	Sometimes	Often	Always
Asks questions and utilizes appropriate resources?	N/A	Never	Rarely	Sometimes	Often	Always
Resolves conflicts and handles complaints professionally?	N/A	Never	Rarely	Sometimes	Often	Always
Takes initiative, is proactive and able to problem-solve?	N/A	Never	Rarely	Sometimes	Often	Always
Maintains effective time management?	N/A	Never	Rarely	Sometimes	Often	Always
Demonstrates strong attention to detail?	N/A	Never	Rarely	Sometimes	Often	Always
Acts as a motivational team player?	N/A	Never	Rarely	Sometimes	Often	Always
Takes a leadership role when appropriate?	N/A	Never	Rarely	Sometimes	Often	Always
Follows safe work practices?	N/A	Never	Rarely	Sometimes	Often	Always
Implements and maintains a responsible budget?	N/A	Never	Rarely	Sometimes	Often	Always

Greatest Professional Areas for Improvement * 🛈

Greatest Strengths (Skills and Abilities) * 🛈

Would you recommend this person for hire with VON Canada? *

Yes

No

Additional Feedback/Comments

Reference's First Name * 🛈

Reference's Last Name * 🛈

Reference's Telephone Number * 🛈

Reference's Email Address * 🛈