PERSONAL REFERENCES. Please provide three personal references to be used for final recommendation Purposes. PROMPTS
PERSONAL REFERENCES. Please list anyone we may contact should an emergency arise and we are unable to locate you. The person you list should be a relative, trusted friend or attorney. This would be the only person who would be allowed access to your house or apartment in the event of an emergency. Please print. Name Address Phone No. Relationship
PERSONAL REFERENCES. Please list references that you have known for more than two years. At least one reference should be a neighbor. References can not be family members.
PERSONAL REFERENCES. When a supervisor or department director receives a request for a reference concerning a former employee of the Seminary & University, the supervisor should contact the Human Resources Department. It is the policy of St. Patrick’s Seminary & University to verify only dates of employment, position held and to confirm salary, except as permitted by the employee, former employee or by law. The lack of any further information should not be interpreted as either favorable or non-favorable reference. The person requesting the information should provide a written request so the request can be verified. A person may directly approach a supervisor and request a letter of endorsement. If the supervisor chooses to write such a letter, the supervisor must use personal stationery and indicate in the letter that the recommendation is not written in the supervisor’s capacity as an employee of St. Xxxxxxx’s. The supervisor or recommender should clearly state he or she is providing a personal evaluation.
PERSONAL REFERENCES. List three (3) personal references NOT related to you. Name Relationship Email Phone How did you hear about AWEE? _________________________________________________ I certify that all the information provided in this application is, to the best of my knowledge, true and accurate. I authorize AWEE to contact the references and to conduct an investigation of my background, as deemed appropriate and as allowed by law. I understand that all information provided will be kept confidential. I understand that AWEE will use this information as part of its verification of my volunteer application. I understand that falsification or significant omissions of any information may be considered justification for dismissal if discovered at a later date. Signature ________________________________________________ Date ________________
PERSONAL REFERENCES. Address: Street, City, State, Zip Length of Acquaintance Occupation Phone
PERSONAL REFERENCES. References: List NON-family members who have knowledge of your skills, abilities, and qualifications. Individuals should have worked with you on projects and activities and/or have direct experience with or knowledge of your qualifications. Please provide complete addresses and phone numbers. Please type or PRINT clearly. Name: Relationship (i.e. employer, friend, co-worker, etc.) Home/cell Phone Work Phone Email Address: (Mailing) (City) (State) (Zip) Name: Relationship (i.e. employer, friend, co-worker, etc.) Home/cell Phone Work Phone Email Address: (Mailing) (City) (State) (Zip) Name: Relationship (i.e. employer, friend, co-worker, etc.) Home/cell Phone Work Phone Email Address: (Mailing) (City) (State) (Zip)
PERSONAL REFERENCES. Please provide three personal references who are not relatives or in-laws who can comment on your work ethic and/or character.
PERSONAL REFERENCES. EMPLOYEE/VOLUNTEER CONTRACT REGARDING PROTECTED HEALTH INFORMATION (PHI) AS DEFINED BY HIPPA REGULATIONS AND APPLICABLE LAWS This form is an agreement between and Family and Community Services, Inc. By signing this contract, you are agreeing to abide by the following rules and requirements as an employee of Family and Community Services, Inc.:
PERSONAL REFERENCES. (If Not Coming out of Treatment or Halfway House) Name: Phone Number: Relationship: Name: Phone Number: Relationship: Name: Phone Number: Relationship: Emergency Contact Information Name: Phone Number: Address: City, State, Zip: Relationship: Name: Phone Number: Address: City, State, Zip: Relationship: Medical Information Current Medications: Allergies to Medications: Pertinent Medical History: Doctor’s Name: Phone:
