CIT Reference Form

Fill out the form below to complete your reference for your CIT candidate.

Reference Form For:*
How long and in what capacity have you known the applicant?*
If you employed the applicant, would you rehire?*
- Yes
- No
Would you leave your child (or a child in your like) under the influence of this applicant for an extended period of time?*
- Yes
- No
Do you have any reason to believe the applicant has been or is a user of illegal drugs?*
- Yes
- No
Do you have any reason to believe the applicant is an excessive or irresponsible user of alcohol?*
- Yes
- No
Responsibility*
Adaptability/Flexibility*
Communication Skills*
Creativity*
Enthusiasm/Energy*
Independence*
Initiative*
Integrity/Honesty*
Judgement/Common Sense*
Leadership Skills*
Maturity*
Professional Appearance*
Self-Confidence*
Work Ethic*
Please comment on any of your above responses if necessary.
Your Information
Your Name*

First

Last
Email*
Position
Company
Relationship to Applicant

Your Information