Guideline - Reference Check Form For Teachers Page 2

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Please describe the candidate’s
quality of programming
1
2
3
4
5
ability to differentiate instructional
practice. Can you provide an
example?
How would you describe the
candidate’s
subject/curriculum/content
knowledge?
Please describe the candidate’s
technical skills
1
2
3
4
5
ability to use technology.
Does the candidate effectively
verbal communication
1
2
3
4
5
communicate with students and
parents? Can you provide an
example?
writing skills
1
2
3
4
5
See above
Can you provide an example of
teamwork
1
2
3
4
5
when the candidate worked
collaboratively with other staff?
How would you rate the candidate in comparison to most others you have known on the following criteria? Please provide an example:
(1 being the lowest and 5 being the highest)
Criteria
Reference’s Rating
Reference’s Response
ability to relate to others
1
2
3
4
5
receptivity to feedback and adaptability to
1
2
3
4
5
change
trustworthiness
1
2
3
4
5
initiative and commitment to task
1
2
3
4
5
trustworthiness, reliability and dependability
1
2
3
4
5
ability to deal with job stress and conflict
1
2
3
4
5
management
attendance and punctuality
1
2
3
4
5
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