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Certificated Reference Survey

Submit professional references for certificated applicants at WHLIS. This page provides a straightforward process for recommending candidates, helping us ensure we select the best individuals to support our students and community.

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*

Month

Day

Year

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?

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

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