Newest Brochure 253-835-FWPD(3973)

Please enter the name of the Applicant that you are providing references for.

Please enter your Phone number (xxx-xxx-xxxx)

Please enter your Email Address

Are you Related to the Applicant?

Please enter your name (Last, First)

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Please give any additional information you may think helpful to our consideration of this person.

How long have you known the applicant?  In what Capacity?  Neighbor, Friend, Co-worker ect.)

How did you become acquainted with the applicant?

Do you consider the applicant trustworthy with confidential information? (If not, please explain)

To your knowledge, has the applicant ever exhibited extreme nervousness or loss of temper?  (Please give example)

Are you aware of any circumstances which might disqualify the applicant for public service? (if so, please give reason)

If possible, please list a person or persons that may be able to assist us further in our considerations of this applicant (provide name and phone or email if possible)

By entering the letters below, your form will be submitted and you will receive a confirmation screen

If related, what is the relationship?

THANK YOU FOR TAKING THE TIME TO COMPLETE THIS REFERENCE FORM.  THIS WILL HELP US IN MAKING THE DECISION TO HIRE THE APPLICANT.  INFORMATION THAT YOU PROVIDE IS CONFIDENTIAL AND NOT OPEN FOR DISCLOSURE TO THE APPLICANT REGARDLESS IF S/HE IS HIRED OR NOT.

Police Applicant Personal Reference Form