Reference Form

Please rate the applicant on - Cleanliness: *

Excellent

Great

Average

Poor

Please indicate how the Applicant left the job? *

Please rate the applicant on - Timeliness: *

Excellent

Great

Average

Poor

Relationship to Applicant - Please Select All that Apply: *

Employment Reference

Personal / Character Reference

Former Nanny Reference

Babysitting Reference

Full-Time Employment

Part-Time Employment

Please rate the applicant on - Healthy Lifestyle: *

Excellent

Great

Average

Poor

Please rate the applicant on - Common Sense: *

Excellent

Great

Average

Poor

Please rate the applicant on - Creativity: *

Excellent

Great

Average

Poor

Please rate the applicant on - Trustworthy: *

Excellent

Great

Average

Poor

Please rate the applicant on - Self-Confidence: *

Excellent

Great

Average

Poor

Please rate the applicant on - Attitude: *

Excellent

Great

Average

Poor

Please rate the applicant on - Flexibility: *

Excellent

Great

Average

Poor

Nanny Applicant Name: *

Would you recommend the Applicant for a Nanny position? *

Please rate the applicant on - Communication: *

Excellent

Great

Average

Poor

Are there any areas where improvement is needed? If yes, please describe: *

Please rate the applicant on - Safety consciousness and emergency skills: *

Excellent

Great

Average

Poor

Reference Name: *

Email: *

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Please rate the applicant on - Energy Level: *

Excellent

Great

Average

Poor

How long have you known this candidate?

Please rate the applicant on - General Childcare (If Applicable):

Excellent

Great

Average

Poor

Please rate the applicant on - Professionalism: *

Excellent

Great

Average

Poor

Please rate the applicant on - Dependability: *

Excellent

Great

Average

Poor

Are there any other additional comments or information you would like to share? *

Phone Number: *

Please rate the applicant on - Coping with Stress: *

Excellent

Great

Average

Poor

Would you hire this Applicant again? *

Please rate the applicant on - Following Suggestions: *

Excellent

Great

Average

Poor

Does the Applicant have a strong support system that you are aware of? *

​​​​Above & Beyond Nanny Services, Inc.

Above & Beyond Nanny Services, Inc.