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    Professional Reference Form

    Applicant Information

    Reference/Endorser Information

    Perception of the Applicant

    This information is treated confidentially and is employed in evaluating the applicant. We value your comments and ask that you give a full and candid reports so that fair consideration may be given to the applicant.

    Interpersonal Relationships
    Demonstrates genuine concern for others*
    Demonstrates genuine concern for others*
    Relates with others in a meaningful way*
    Relates with others in a meaningful way*
    Demonstrates a teachable spirit or attitude*
    Demonstrates a teachable spirit or attitude*
    Initiative and Creativity
    Demonstrates initiative*
    Demonstrates initiative*
    Recognizes and accomplishes necessary tasks*
    Recognizes and accomplishes necessary tasks*
    General Impressions
    Displays common sense*
    Displays common sense*
    Displays emotional stability*
    Displays emotional stability*
    Well accepted by associates*
    Well accepted by associates*
    Possesses a wholesome attitude toward others*
    Possesses a wholesome attitude toward others*
    Communication Skills
    Interprets accurately and effectively the ideas of others*
    Interprets accurately and effectively the ideas of others*
    Personal and Intellectual Integrity
    Accurately appraises strengths and weaknesses*
    Accurately appraises strengths and weaknesses*
    Pursues goals ethically and conscientiously*
    Pursues goals ethically and conscientiously*
    Displays moral integrity*
    Displays moral integrity*
    Displays reliability*
    Displays reliability*

    Summary

    Please mark the term that best describes your recommendation of this applicant*
    Please mark the term that best describes your recommendation of this applicant*
    Do you wish someone from Grace to contact you to discuss any concerns about this candidate?*
    Do you wish someone from Grace to contact you to discuss any concerns about this candidate?*
    Approval*
    Approval*