Reference Form | Badger Learn to Swim

Reference for Applicant

The information below is in reference to the name of the applicant entered below.

Name of Applicant

First Last

Your Name*

This is the name of the person providing the reference for the applicant.

First Last

Email*

Phone*

Relationship to Applicant*

Please list the applicant’s major strengths and/or skills:*

Do you know any reasons why this applicant should not be working with children?*

Please list areas where applicant needs to improve:

please explain:

Promptness*

Emotional Maturity*

Responsibility*

Dependability*

Accepts Direction*

Positive Attitude*

Teamwork*

Organization*

Adaptability and Flexibility*

Warmth & Empathy*

Loyalty and Dedication*

Creativity*

Certification*