Reference Check Form – Teacher – International School for Medical Science and Engineering

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Thank you for taking the time to complete this reference check form

This form is intended to gather confidential feedback from a candidate's professional referee to support the recruitment and selection process. All information provided will be treated with strict confidentiality and used solely for candidate evaluation by authorized personnel. We kindly request that you complete this form based on your professional experience with the candidate and provide honest and accurate feedback.

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Candidate Information

Candidate Name(Required)

Referee Information

Referee Name(Required)

Position/Title(Required)

School/Organization(Required)

Phone Number(Required)

Relationship to Candidate(Required)

Direct Supervisor/Principal

Academic Supervisor/Coordinator

Department Head

HR Manager/HR Officer

Other

How many years have you known the candidate?(Required)

How effective was the candidate in planning and delivering instruction?(Required)

Excellent

Good

Satisfactory

Needs Improvement

How effective was the candidate in managing student behavior and maintaining a positive learning environment?(Required)

Excellent

Good

Satisfactory

Needs Improvement

How would you describe the candidate's professional relationships with students?(Required)

Excellent

Good

Satisfactory

Needs Improvement

How would you describe the candidate's professional relationships with parents/guardians?(Required)

Excellent

Good

Satisfactory

Needs Improvement

How would you describe the candidate's professional relationships with colleagues?(Required)

Excellent

Good

Satisfactory

Needs Improvement

How would you describe the candidate's professional relationships with Supervisors?(Required)

Excellent

Good

Satisfactory

Needs Improvement

Please rate the candidate in the following areas:

Rating Scale: 5 = Outstanding | 4 = Very Good | 3 = Satisfactory | 2 = Needs Improvement | 1 = Unsatisfactory

Reliability and Dependability(Required)