NISD Phone Reference Questionnaire - Non-Instructional
Please assist Northside Independent School District Human Resources Department in determining this applicant's potential for success in the desired position. Please provide a rating for each of the applicable characteristics listed below. Then answer the questions at the bottom of the page. Please feel free to add any additional comments that might assist us in determining this applicant's eligibility for the job. Thank you for your time.
Reference Name
Applicant Name
Reference Company
Reference Title
Reference Phone
Reference Email
example@example.com

NOT APPLICABLE

	DEPENDABILITY/COMPLETES TASKS	UNSATISFACTORY	NEEDS IMPROVEMENT	MEETS EXPECTATIONS	EXCEEDS EXPECTATIONS

MAINTAINS POSITIVE ATTITUDE
COMPLETES TASKS AS ASSIGNED
ACCEPTS ADDITIONAL TASKS
QUALITY OF WORK PERFORMED
FLEXIBILITY AND COOPERATION
ATTENDANCE AND PUNCTUALITY
FOLLOWS SAFETY PROCEDURES
APPROPRIATE COMMUNICATIONS
ETHICAL AND PROFESSIONAL BEHAVIOR
EFFECTIVE COMMUNICATION SKILLS

How long have you known this applicant? (mm/dd/yyyy)
to
to
Did this applicant receive any form of disciplinary action? Briefly Explain
If you had a similar position, would you employ this person?
YES NO
Please add any additional comments that would help us determine this person's eligibility
Date of Phone Interview (mm/dd/yyyy)
Name of Phone Interviewer
Position of Phone Interviewer
Should be Empty:

NISD Phone Reference Questionnaire - Non-Instructional