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WHLIS Professional Reference Form - Certificated Applicant

Applicant Name*

Your Name*

Your Email*

Your Phone Number*

We will only call if we have follow-up questions relating to the reference you provide.

Reference Organization*

The institution for which you and the candidate were simultaneously employed.

Length of time you and the candidate were employed at the same organization.*

Today's Date*

Relationship to Applicant, check all that apply

Supervisor

Colleague

Peer

Subordinate

Please rank the candidate on a 1-5 scale in the following areas.

1 = Poor 2 = Fair 3 = Good 4 = Excellent 5 = Fantastic!

Responds to Supervision*

Attendance & Punctuality*

Dependability*

Willingness to Assume Responsibility*

Ability to Follow Instructions*

Instructional Skills*

Classroom Management*

Relationships with Colleagues, Parents, and Students*

Were there any disciplinary actions?*

Were there any performance issues?*

What are the candidate's strong points?*

Provide a list of their strong characteristics/areas in which they excel.

What are the candidate's limitations?*

Provide any areas in which this candidate could benefit from support.

How does the candidate foster student learning?*

Are there any concerns you would like to share about the candidate's hiring as a classroom teacher?*

Would you rehire/work with this candidate again?*

Is there anything else you wish to tell us about the candidate that was not previously addressed?

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Phone (360) 456-1311
Fax (360) 456-1319

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WHLIS on King 5

WA HE LUT Indian School Agency is an equal opportunity employer and does not discriminate...

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WHLIS Professional Reference Form - Certificated Applicant

Contact

Phone (360) 456-1311 Fax (360) 456-1319

Staff

More

Phone (360) 456-1311
Fax (360) 456-1319