Employment Reference Form

Blue Ridge Assembly conducts a collegiate work-study program. It involves working in customer service departments, living in Assembly dormitories and participating in staff recreation, spiritual and educational programs.
Email(*)
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Applicant Name(*)
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Date(*)
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Full Name(*)
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Address
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City
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State
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Zip Code
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Telephone(*)
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This person is being considered for employment by our organization and has granted permission for information concerning his/her character to be secured. Your confidential answers to the following questions will help us better evaluate the applicant. Thank you for your assistance.
Character
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General Attitude
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Ability to Get Along with Others
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Communication with Others
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Dependability
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Honesty
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Independent Initiative
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Observance of Rules & Regulations
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Acceptance of Supervision
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Behavior/Emotional Stability
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Personal Habits
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Safety Habits
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Judgement
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Leadership
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How many years have you known this person? (*)
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What is your relationship to this person?
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What do you feel are this person’s major strengths and weaknesses? Be specific.
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Do you recommend the acceptance of the applicant as an employee of YMCA Blue Ridge Assembly?
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