Referee Report Form

Applicant Details

Surname

 

First Name(s)

 

Position Applied For (Classification/Section)

 

Position/Reference Number

 

Referee Details

Surname

 

First Name(s)

 

Classification/Position/Title

 

Telephone Number

 

Nature and period of relationship with applicant

 

Criterion 1:
Comments:
Rating:

 

 

 

 

Criterion 2:
Comments:
Rating:

 

 

 


Criterion 3:
Comments:
Rating:

 

 

Criterion 4:
Comments:
Rating:

 

 

 

Criterion 5:
Comments:
Rating:

 

 

 

Criterion 6:
Comments:
Rating:

 

 

 

Criterion 7:
Comments:

 

 

Additional Comments:

 

 

For Referee

I have forwarded a copy of the referee report to the applicant:

Yes/ No

Date:
Signature:


 

For Selection Advisory Committee where verbal comments have been obtained

Verbal referee comments have been obtained and confirmed with the referee.

Date:

Signature:

 

Assessment Rating Scale

Assessment Against the Selection Criteria

Scale

Description

Examples

Outstanding

 

The applicant has demonstrated exceptionally well developed and relevant skills and abilities, and the appropriate personal qualities in relation to this criterion and their performance is well above what would normally be expected of staff at this level.  

Is able to perform well above expectations for any of the following reasons:

  • has excellent job knowledge
  • is exceptionally reliable
  • has demonstrated considerable ability in problem solving and the application of change
  • effectively deals with all matters relating to their current position

Highly Suitable

 

The applicant has highly developed and relevant skills and abilities, and would perform consistently well again this criterion.

Would require little supervision to achieve good results, for any of the following reasons:

  • is reliable and responsible
  • has well developed (sound) job knowledge
  • is able to suggest and initiate improvement
  • is well able to deal with all of the routine and most of the complex matters relating to their current position

Suitable (meets criteria)

 

The applicant has relevant skills, abilities and personal qualities and would be generally effective against this criterion

Would require routine supervision to perform at an acceptable level for any of the following reasons:

  • has reasonable/good job knowledge
  • is generally reliable
  • requires guidance for more complex situations
  • can carry responsibility
  • can deal with all routine matters relating to their current position

Requires Development

 

The applicant has some skills, abilities and personal qualities relevant to the criterion, but is limited on others.

They would be able to perform the duties of the position with close supervision, but would require further training and development to meet the standard required against this criterion

Would require close supervision to perform at an acceptable level for any of the following reasons:

  • has only basic/general job knowledge
  • can follow directions but requires frequent checking etc
  • deals with some routine matters relating to their current position
  • work performance is inconsistent

Does not meet criteria

 

The applicant is unable to demonstrate that they have adequate skills, abilities and personal qualities in relation to the criterion.   They do not meet the requirements of this criterion.

Would be unable to perform the duties and would require constant supervision for any of the following reasons:

  • has limited job knowledge
  • makes frequent errors
  • has poor work output
  • has difficulty carrying responsibility or solving problems
  • has difficulty dealing with routine matters relating to their current position

Not Assessed

Unable to comment on whether the applicant met the selection criterion from the available information.