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FEDERAL WAY POLICE EXPLORER POST #2007

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Background Reference Questionnaire

Information that you provide on this form will be used to determine the eligibility of the applicant.

 This applicant does not have access to your response.  Please be candid.

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Completes tasks without “Nagging”?

What is the name of the applicant?

What is your name? (First Last)

What is your phone number? (in case we need to verify)

What is your Email Address?

What is your relationship to the applicant?

How long have you known the Applicant?

How did you meet the Applicant?

Do you trust the applicant with Confidential Information / Secrets?

Has the applicant shown any type of Anger issues?

Any reason or concern that you have against the applicant becoming an Explorer?

Is there anyone else that we should ask about this Applicant?

Is there any issues that you can describe that we should be made aware of?

Do you have any more information to add?

Please Rate the following qualities 1 (lowest) to 5 (highest)

Reliability?

Judgement?

Honesty?

Initiative?

Maturity?

Deals with Criticism?

Deals with Mistakes?