[Form 4] Nursery Staff

Reference Check Form

RIVERMONT EPC NURSERY MINISTRY

Reference Check Form
REFERENCE #1

Name Relationsh
ip
Date of Reference Person Checking
Check Reference
If a former employer, what position did candidate hold? Describe his/her job responsibilities.

How long have you known the applicant?

The applicant is being considered as a Nursery Child Caregiver. Do you think he/she is a good fit?

Have you observed the applicant working with children under the age of five?

What do you consider to be the applicant's key strengths?

What would you consider to be his/her areas for improvement?

On a scale from 1-5, how would you rate his/her work performance? (1 is poor and 5 excellent)

What is your experience of the candidate's honesty and integrity?

What is your experience of the candidate’s punctuality and reliability?

How would you describe the applicant's adaptability and/or flexibility?

Please describe the applicant's communication skills.

How would you describe the applicant's energy level and stamina?

Is there anything else you would like to add about this applicant?

Page 1 of 3
[Form 4] Nursery Staff
Reference Check Form

RIVERMONT EPC NURSERY MINISTRY

Reference Check Form
REFERENCE #1

Name Relationsh
ip
Date of Reference Person Checking
Check Reference
If a former employer, what position did candidate hold? Describe his/her job responsibilities.

How long have you known the applicant?

The applicant is being considered as a Nursery Child Caregiver. Do you think he/she is a good fit?

Have you observed the applicant working with children under the age of five?

What do you consider to be the applicant's key strengths?

What would you consider to be his/her areas for improvement?

On a scale from 1-5, how would you rate his/her work performance? (1 is poor and 5 excellent)

What is your experience of the candidate's honesty and integrity?

What is your experience of the candidate’s punctuality and reliability?

How would you describe the applicant's adaptability and/or flexibility?

Please describe the applicant's communication skills.

How would you describe the applicant's energy level and stamina?

Is there anything else you would like to add about this applicant?

Page 2 of 3
[Form 4] Nursery Staff
Reference Check Form

RIVERMONT EPC NURSERY MINISTRY

Reference Check Form
REFERENCE #1

Name Relationsh
ip
Date of Reference Person Checking
Check Reference
If a former employer, what position did candidate hold? Describe his/her job responsibilities.

How long have you known the applicant?

The applicant is being considered as a Nursery Child Caregiver. Do you think he/she is a good fit?

Have you observed the applicant working with children under the age of five?

What do you consider to be the applicant's key strengths?

What would you consider to be his/her areas for improvement?

On a scale from 1-5, how would you rate his/her work performance? (1 is poor and 5 excellent)

What is your experience of the candidate's honesty and integrity?

What is your experience of the candidate’s punctuality and reliability?

How would you describe the applicant's adaptability and/or flexibility?

Please describe the applicant's communication skills.

How would you describe the applicant's energy level and stamina?

Is there anything else you would like to add about this applicant?

Page 3 of 3