Employment Form


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  1. 1. Candidate
  2. 2. Company
  3. 3. Job Title
  4. 4. Employment Period
  5. 5. Name
  6. 6. Position
  7. 7. Length of time with the company
  8. 8. Relationship with the applicant (can be both)
  9. 9. How long have you known the applicant?

    10. Please rate the applicant in the traits listed below based on your personal knowledge of his or her behavior.


  10. 10. Do you socialize with the applicant away from work?
  11. 11. Have you worked with the applicant at any other place of employment?
  12. 12. How is the applicant as a spouse/parent/significant other?
  13. 13. Would you trust the applicant with confidential matters?
  14. 14. Is the applicant honest, dependable, and highly motivated?
  15. 15. Has the applicant ever been reprimanded, disciplined, or counseled for any reason?
  16. 16. Has the applicant ever had his salary garnished?
  17. 17. Has the applicant ever abused sick leave or been late to work?
  18. 18. Has the applicant ever filled any type of claim against the company?
  19. 19. Is the applicant financially stable?
  20. 20. Has the applicant ever committed any criminal activity to include alcohol or drug related crimes?
  21. 21. Has the applicant ever displayed any negative personality traits?
  22. 22. Does the applicant care about people and the welfare of others?
  23. 23. Has the applicant expressed any signs of bias or prejudice towards others?
  24. 24. Does the applicant lose his/her temper easily?
  25. 25. Has the applicant ever been involved in any verbal or physical confrontations with anyone?
  26. 26. Does the applicant accept constructive criticism?
  27. 27. Has the applicant ever displayed any prejudices or dislikes toward other people?
  28. 28. Is the applicant able to work with all types of people, regardless of background or skills?
  29. 29. Does the applicant handle disputes in the least offensive manner possible?
  30. 30. Is the applicant able to make decisions under stress?
  31. 31. Does the applicant respect authority?
  32. 32. Is the applicant able to perform multiple functions at once?
  33. 33. Is the applicant able to work with minimum supervision?
  34. 34. Does the applicant keep a positive attitude and always act inspired?
  35. 35. Can the applicant be assertive when necessary and is he or she able to take command of many situations?
  36. 36. Is the applicant willing to work as a team member or leader when asked?
  37. 37. Is the applicant loyal to the organization and has he or she ever attempted to take advantage of any situation?
  38. 38. Does the applicant draw upon life experiences to deal with situations?
  39. 39. Does the applicant think before acting?
  40. 40. What are the applicant's greatest strengths?
  41. 41. What area does the applicant need to improve upon?
  42. 42. What reason did the applicant give for leaving your employment?
  43. 43. Is the applicant eligible for re-hire?
  44. 44. Would you recommend the applicant for this position?
  45. 45. Adaptability
  46. 46. Tolerance for stress
  47. 47. Tolerance for unpleasant work environment
  48. 48. Attitude
  49. 49. Teamwork
  50. 50. Initiative
  51. 51. Leadership skills
  52. 52. Judgement/Common sense
  53. 53. Motivation
  54. 54. Maturity
  55. 55. Interpersonal sensitivity
  56. 56. Ability to get along with others
  57. 57. Communication skills
  58. 58. Emotional control
  59. 59. Dependability
  60. 60. Productivity
  61. 61. Control of temper and emotions
  62. 62. Desires for self-improvement
  63. 63. Honesty/Integrity/Credibility
  64. 64. Completion of work on time
  65. 65. Accuracy/Thoroughness of work
  66. 66. Observance of rules/regulations
  67. 67. Ability to accept instruction
  68. 68. Getting along with supervisors/employees
  69. 69. Performance during emergency
  70. 70. Performance with minimum instruction
  71. 71. Problem solving ability
  72. 72. Learning ability
  73. 73. Observational skills
  74. 74. Willingness to confront problems
  75. 75. Interest in people
  76. 76. Appearance
  77. 77. Additional comments