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IC3 – Where Your Child is the Center
Home
Programs
IC3 Main Campus
IC3 at Kendal
IC3 School Age Program
IC3 Summer Camp
About IC3
Philosophy & Curriculum
Policy & Procedures
IC3 Board of Directors
Community Outreach
NAEYC Accreditation
Committed Staff
Continuity of Care
Prospective Families
Virtual Tours
Wait List
FAQs
Tuition & Scholarships
Community Resources
Support IC3
Capital Campaign
Volunteer
Fundraising Events
Staff Education Fund
Scholarship Fund
Donate Now
Contact Us
Employment Opportunities
Reference Form
Newsletter Signup
Reference Form
Reference Form
IC3's Reference form for potential employees
Name of Reference
*
Name of Reference
First
Last
Name of Potential Employee
*
Name of Potential Employee
First
Last
Title of Reference
*
Title of Reference
Address of Reference
Address of Reference
Street Address
Address Line 2
City
State/Province
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone Number of Reference
Phone Number of Reference
Email Address of Reference
Email Address of Reference
In what capacity have you known the applicant?
*
In what capacity have you known the applicant?
How many years have you known the applicant?
*
How many years have you known the applicant?
Please enter a number from
1
to
100
.
Rate the applicants understanding of child development
*
Rate the applicants understanding of child development
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Rate the applicants age appropriate activities/practice
*
Rate the applicants age appropriate activities/practice
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Rate the applicants communication with children
*
Rate the applicants communication with children
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Rate the applicants communication with adults (oral & written)
*
Rate the applicants communication with adults (oral & written)
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Rate the applicants ability to set limits and use positive discipline
*
Rate the applicants ability to set limits and use positive discipline
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Rate the applicants emphasis on health and safety
*
Rate the applicants emphasis on health and safety
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Rate the applicants ability to handle small and large groups
*
Rate the applicants ability to handle small and large groups
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Rate the applicants decision-making/judgement skills
*
Rate the applicants decision-making/judgement skills
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Rate the applicants ability to be sensitive and warm
*
Rate the applicants ability to be sensitive and warm
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Rate the applicants ability to be flexible
*
Rate the applicants ability to be flexible
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Rate the applicants reliability/punctuality
*
Rate the applicants reliability/punctuality
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Rate the applicants professional development/demeanor
*
Rate the applicants professional development/demeanor
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Rate the applicants problem-solving skills
*
Rate the applicants problem-solving skills
1- Excellent
2- Above Average
3- Average
4- Fair
5- Poor
Not Applicable
Additional comments?
Additional comments?
Name
This field is for validation purposes and should be left unchanged.
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