Personal Reference Confirmation:

Personal Reference Checks are performed by PROTEC to verify basic character and stability of a candidate with individuals that have known the candidate for a length of time. Our trained staff confirms type of relationship and length of time they have known the applicant. Each reference is asked, based on their personal knowledge, to indicate their perception of such things as the candidate’s communication skills, problem-solving skills, self-control, punctuality and ethnic/racial sensitivity. They also are asked to comment on any knowledge of substance abuse, verbal/physical acts of anger or convictions involving violence, theft, or drug-related offenses.

Personal Reference Confirmation (PRC)

NAME:   APPLICANT, Tracy T              Request Date:  02-14-02

            CHRISTOPHERSON)              Reference:       Jane Doe

DOB:      01-01-60                    City, St:           Denver, CO

SSN:      123-45-6789               Interview Date: 02-15-02

     Reference Data                            Response

     Prospective Applicant:                  APPLICANT, Tracey T

     Time Known:                               5 Years

     Relationship:                               Friend

Based on your personal knowledge, rate this individual in the following areas, on a scale of 1 to 5, 1=Highest; 5=Lowest

      Communications Skills:      2

      Self-Control:                   2

      Problem-Solving:             1

      Punctuality:                   2

      Ethnic/Racial Sensitivity:  1

In the interest of maintaining a safe & secure environment for staff / residents, are you aware of any negative information regarding this applicant involving:

      Substance Abuse:                        N                                                     

      Verbal / Physical Acts of Anger:      N

      Physical / Sexual Abuse Issues:       N

      Conviction involving Violence, Theft or Drug-related Offense:      N

Based upon your personal knowledge of the applicant, can you think of any reason this applicant should not work for any employer?   No – She is a well organized, and motivated.  She worked well with my kids.

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