Page 17 - Teacher Selection and Onboarding Guide

THE SCHOOL DISTRICT OF PALM BEACH COUNTY
RECRUITMENT AND RETENTION
Employment Reference Verification

The purpose of this form is to provide a guide for Principals to verify by telephone an applicant's reference information. This is a required
form and must be submitted to the Department of Recruitment and Retention upon completion.
Applicant/Employee ID# Date of Contact

Applicant Position Applied For

Name of School/Business Reference
Reference Name & Title Telephone #

1. Do you have any input on why he/she is leaving or left your employment? If yes, specify below.

2. Are there any incidents involving this candidate that we should be aware of, or that would prevent us from employing this individual?

3. What is the candidate's rapport with staff /community/parents/co-workers?

4. What can you tell me about the candidate's attendance while employed?

5. What are his/her strong points?

6. Can you identify any areas of concern in regards to the candidate's job performance? If yes, specify.

7. Is there additional information you can tell me about this candidate?

8. Would you re-employ? Yes No If no, why not?

Print name and title of person completing this form Location

Signature of person completing this form
PBSD 1631 (Rev. 2/20/2017)