Reference Form
This form will be shared with the nanny candidate whom you are recommending, as well as families who may consider hiring the candidate.
General Information
*
Your First and Last Name:
*
Your Email:
Your Phone:
Nanny's Name:
Type of Reference:
- Select -
Child Care
Personal
Professional
Childcare Reference
Ages of Children and Duties Performed:
Personal Reference
Relationship:
Years Known:
Professional Reference
Position/Title:
For All References
Strengths:
Areas to improve on:
Why would you think this person is suited to work with children?:
Rank this Person
Please rank the person 1-5, with 5 being the best on the following attributes.
Enthusiastic about job:
1
2
3
4
5
Appearance:
1
2
3
4
5
Patience:
1
2
3
4
5
Dependability:
1
2
3
4
5
Was job commitment fulfilled:
1
2
3
4
5
Demonstrated good judgment/common sense/thinking on their feet:
1
2
3
4
5
Interacted well with children/Co-workers:
1
2
3
4
5
Communication skills:
1
2
3
4
5
Additional Information
Overall quality of work:
- Select -
Excellent
Good
Room for Improvement
Unsatisfactory
Reason for leaving (if applicable):
Would you employ this person again? (if applicable):
Yes
No
Please explain:
Any other comments?: