SUPERVISOR QUESTIONNAIRE

SUPERVISOR QUESTIONNAIRE

TIME-SENSITIVE- PLEASE COMPLETE WITHIN 72 HOURS

The form will not expire

Applicant's Name*

The investigator that sent the questionnaire?*

1. Your Name*

First NameLast Name

Email*

example@example.com

Name of Agency or Company*

You worked at together

2. Applicant's start and end dates

3. Applicant's title when hired and title now or when employment ended*

4. If no longer employed with the agency/company, please share the circumstances of their departure.*

5. Was the applicant terminated, asked to resign, or permitted to resign in lieu of termination?*

6. Did the applicant leave in good standing?

7. Please describe the applicant's Moral Character and Integrity*

8. Was/Is the applicant Dependable and Punctual? Example?*

9. Was/Is the applicant Trustworthy? Example?*

10. How was/is the applicant's Self initiative? Example?*

11. Tell us what you think of the applicant's Leadership. Example?*

12. Tell us about the applicant's Judgement. Example?*

13. Would you say the applicant has confidence in themselves? Example?*

14. Is the applicant receptive to supervision and constructive criticism? Example?*

15. Does/Did the applicant comply with rules and policies?*

16. How would you describe the applicant's problem solving abilities? Example?*

17. How would you describe the applicant's communication skills?*

18. Is the applicant productive? Does the applicant look for things to do, or wait for instruction and or direction?*

19. Can you think of any reason why the applicant may not be suitable to work with this employer?*

20. To your knowledge, has the applicant ever been subjected to employee discipline?*

21. Please add additional comments below. If there is a question we did not ask, feel free to address it here. This information is considered highly confidential and is not subject to the applicant's review.

As of 1.1.2023, the State of California requires background investigators to develop secondary references. These are people you may know that also know the applicant and can provide additional information. These individuals are probably not listed in the applicant's PHQ. Please provide a name, phone, and email address and their association with the applicant.

Thank you.

LATERAL LAW ENFORCEMENT POSITION ONLY-

Are you aware of any Brady material or the applicant being on a Brady list?

Please verify that you are human*

I am interested in your public safety background service, please contact me. www.g2backgrounds.com

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Job performance, Accommodations, etc.