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Home
About
Services
Personal Care & Support
Enhanced Pediatrics Care
Home Care
Companion Care
Neurological Disability Care
Wound Care
Skilled Nursing Care
Private Duty
Blog
Service Areas
Careers
Forms
Contact
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Employer Reference Check
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The above individual has applied for employment with our company and has given your firm as an employment reference. Your assistance in furnishing information related to this individual will assist us in determining his or her acceptability for employment. Any information you provide will be held in strict confidence.
For each category please check the box that most nearly characterizes your appraisal of the applicant.
Professional/Technical Skills
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Adequate
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Attendance/Punctuality
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Teamwork/Collaboration
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Initiative
Excellent
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Weak
Work Management
Excellent
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Adequate
Weak
Integrity
Excellent
Satisfactory
Adequate
Weak
Adaptability
Excellent
Satisfactory
Adequate
Weak
Communication
Excellent
Satisfactory
Adequate
Weak
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Eligible for Rehire
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