Complete this form to submit reference information for a candidate for employment. Employment Reference – Party InformationName of Person Submitting the Questionnaire(Required) First Middle Last Suffix Phone Number of Person Submitting the Questionnaire(Required)Email Address of Person Submitting the Questionnaire(Required) Name of Applicant Being Considered for Employment(Required) First Middle Last Suffix Questions about the ApplicantHow do you know the applicant?(Required)How long have you known the applicant? (Years & Months)(Required)Do you consider the applicant to be an honest person?(Required)YesNoIf you answered no to the above question, please provide further explaination.(Required)Has the applicant displayed any bias or prejudice towards others?(Required)NoYesIf you answered yes to the above question, please provide further explaination.(Required)Do you know of the applicant engaging in any illegal activities?(Required)NoYesIf you answered yes to the above question, please provide further explaination.(Required)How would you describe the applicant's character?(Required)How would you describe the applicant's reputation?(Required)Would you trust the applicant with your personal safety?(Required)Can you think of any reason why the applicant might not be qualified to work in public safety?(Required)If given the opportunity, would you hire the applicant?(Required)Please provide any other information about the applicant that you feel might be relevant to the background investigation.Acknowledgement(Required) I have answered all questions on this form truthfully and honestly to the best of my knowledge and ability.Electronic Signature of Person Completing Questionnaire(Required)CAPTCHA
