Personal Reference Questionnaire
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Personal Reference Name
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Today's Date
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Phone Number
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Your e-mail address
| For a copy of your answers. We will not share your personal or contact information.
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The applicant's name
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How long have you known the applicant
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1) How did you meet the applicant?
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2) How often do you have contact with the applicant?
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3) How would you describe the applicant's personality?
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4) How does the applicant handle stressful situations?
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5) Have you ever known the applicant to behave in a reckless or impulsive manner?
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6) Do you consider the applicant a safe driver?
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7) Are you aware of any domestic abuse during any of applicant’s past or present relationships?
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8) How does the applicant interact with people in general?
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9) How would you rate or describe the applicant’s verbal and writing skills?
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10) Are you aware of any employment problems?
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11) Have you ever observed or suspected the applicant was committing any alcohol related crimes, such as DUI or being intoxicated in a public place, or of abusing illegal drugs and/or prescription medications?
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12) Are you aware of the applicant having any negative contact with law enforcement?
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13) Has the applicant ever displayed a prejudice toward anyone because of their race, religious beliefs, ethnicity, sexual orientation, or gender?
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14) Does applicant manage their finances responsibly?
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15) Have you ever questioned applicant’s honesty or integrity (can they be trusted with confidential matters)?
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16) What areas do you think the applicant could improve?
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17) Would you recommend the applicant for this position?
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18) Is there anything I did not ask that you think is important to note?
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19) Do you know anyone else who may be able to provide information about the applicant that may not be listed in a personal history statement?
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Image Verification
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