Confidential CANADEM Referee Questionnaire
CANADEM is a non-profit agency that helps identify qualified civilian experts for the United Nations and other international agencies.

We kindly ask that you complete this questionnaire as thoughtfully as possible. Please make sure to enter the name and email address of candidate who you are writing this reference for. It will help us gain insight into this candidate’s professional and personal skills. Please remember that the job may be very demanding, complex and in a challenging physical location.

Your comments will always remain fully confidential and will never be shown to the candidate.

Thank you for your candid comments and your speed in completing the questionnaire. We value your time and insights.

Sincerely,
The CANADEM Roster Team
www.CANADEM.ca

Candidate Information:
In this section enter candidate's contact details (otherwise we will not know on who's behalf did you write this reference).
Full name of a candidate
Your answer
Candidate's email address
Your answer
Please enter today's date
So that we can keep track of when questionnaire was filled
MM
/
DD
/
YYYY
Referee information:
In this section enter your contact details.
1. Full name.
Your answer
2. Title
Your answer
3. Agency Name
Please enter the name of the organization you are working for.
Your answer
4. Location
Please enter your current location
Your answer
5. Phone Number
Number that we can reach you on in case we require additional details.
Your answer
6. Email address
Your answer
What was your working relationship with the candidate?
Why are you well placed to comment on their capacities?
Your answer
A. Interpersonal and team skills (e.g. works well with others)
Please provide comments to explain their score on interpersonal and team skills
Your answer
B. Initiative/perseverance (e.g. self-motivating, needs little supervision)
Please provide comments to explain their score on initiative/perseverance
Your answer
C. Management/supervisory skills (e.g. can they organize teams?)
Please provide comments to explain their score on management/supervisory skills
Your answer
D. Leadership skills (e.g. can they motivate and energize others?)
Please provide comments to explain their score on leadership skills
Your answer
E. Problem solving skills
Please provide comments to explain their score on problem solving skills
Your answer
F. Flexibility and patience
Please provide comments to explain their score on flexibility and patience
Your answer
G. Able to deal with stress and hardship
Please provide comments to explain their score on ability to deal with stress and hardship
Your answer
H.Ability to work with other cultures
Please provide comments to explain their score on ability to work with other cultures
Your answer
I. Works well with both women and men, and understands gender issues.
Please provide comments to explain their score on ability to work with both women and men, and understand gender issues
Your answer
J. Writing skills in English (e.g. reports, analysis)
Please provide comments to explain their score on writing skills in English
Your answer
K. Sense of humour
If you need to provide comments to explain your numerical score please enter the number and short explanation in the "other" field.
What is your overall impression of the candidate?
Please note what you consider candidates most prominent strengths and weaknesses
Your answer
In a high stress and sustained ‘emergency’ environment, why would you be glad to have this person working and perhaps living in a compound with you?
What reservations might you have?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of CANADEM. Report Abuse - Terms of Service - Additional Terms