REFERENCE CHECK SURVEY Your Name * First Name Last Name Name of Organization (if applicable) Email * Phone * (###) ### #### Would it be okay to contact you if more information is needed? * Yes No Name of the person for whom you are giving a reference * First Name Last Name How do you know the person listed above? * Friend Acquaintance Family relation Employee Other If you selected 'Other' above, please explain: If the person listed above is a former employee what role did the individual fulfill? In your opinion is the person listed above fit to work with children? * Yes No Not sure Decline to answer Would you re/hire the person listed above? * Yes No Is there anything you would like to share about the person listed above? Thank you for your input! We appreciate your time greatly! 3/9/2023 (MF)
