Date

Applicant Name:
Your Name:
Your Email:

Please describe your relationship to the applicant:

In the capacity that you know the applicant, please rate them in the following areas:

Punctuality and attendance? Needs ImprovementMeets StandardsExceeds Standards
Time management, multi-tasking and organizational skills? Needs ImprovementMeets StandardsExceeds Standards
Quality of work?Needs ImprovementMeets StandardsExceeds Standards
Ability to follow instructions and complete assigned tasks? Needs ImprovementMeets StandardsExceeds Standards
Ability to keep information confidential? Needs ImprovementMeets StandardsExceeds Standards
Ability to learn new tasks and adapt to change?Needs ImprovementMeets StandardsExceeds Standards
Ability to function in stressful situations?Needs ImprovementMeets StandardsExceeds Standards
Interpersonal communication skills?Needs ImprovementMeets StandardsExceeds Standards
Ability to relate to others / participate as part of a team?Needs ImprovementMeets StandardsExceeds Standards
Ability to take initiative and work independently?Needs ImprovementMeets StandardsExceeds Standards
Trust-worthiness, dependability and integrity?Needs ImprovementMeets StandardsExceeds Standards
Ability to accept constructive feedback? Needs ImprovementMeets StandardsExceeds Standards
Respect for the differences & diversity in other people? Needs ImprovementMeets StandardsExceeds Standards
How would you compare their performance and abilities with others that have held the same job? Needs ImprovementMeets StandardsExceeds Standards

Are there any skills or strengths of this candidate that stand out?

Areas for improvement that stand out?

Would you rehire this person? If no, why not?

Is there anything else you would like to add?