Adjunct Reference Check Form

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Adjunct Reference Check Form
Applicant Name _______________________ Position _______________
Two reference checks must be conducted with two people present for each.
Reference Check 1:
Reference Name __________________________ Phone Number ______________
1. ________ is applying for the position of ________. Can you please describe
________’s teaching abilities in relation to (subject/program)?
2. Can you please describe ________’s skills in (detailed skill required for the
job)?
3. If you had the opportunity to hire ________ in a teaching capacity, would
you hire him/her?
Reference Check 2:
Reference Name __________________________ Phone Number ______________
1. ________ is applying for the position of ________. Can you please describe
________’s teaching abilities in relation to (subject/program)?
2. Can you please describe ________’s skills in (detailed skill required for the
job)?
3. If you had the opportunity to hire ________ in a teaching capacity, would
you hire him/her?
References checked by:
______________________________________________
Signature
Date
______________________________________________
Signature
Date

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