Gallup McKinley County Schools

Reference Check Form

Name of Applicant: GRACE BUAN Position applying for: TEACHING POSITION

Person providing reference LEA B. PASCUAL, Ed.D. Date OCTOBER 19,2019

1. What is your relationship to the applicant and for how long have you known him/her? I have known the
applicant for 19 years. Ms Grace Buan was one of the able and excellent teaching staff in a school I managed at
Concepcion West District, Tarlac Philippines.
2. Reason for leaving your employment: Resignation; Discharge; Lay-off/RIF; Military duty;

Resignation in lieu of termination/ discharge.

3. Duties and responsibilities during employment: other than an Intermediate teacher,Ms. Grace Buan was in-
charge of the Learning Area in Science and Health and a member of the Curriculum Development
Committee in the District.
4. How would you evaluate the general work performance of this individual? Ms. Grace Buan excels in
everything that she does. She can perform variety of duties and handles many situations with ease and is
comfortable with change. Under Ms. Buan’s guidance, achievement test scores of our learners improved by
25%.
5. What are the person’s strengths as an employee? She communicates well with her fellow staff and parents
and learners. She has great organizational skills and dedication as she gets the job done systematically and
go extra miles in achieving her assigned task/goals.

6. What is an area this person might want to improve upon as an employee? Her weakness is that she being a
detail oriented person as she sometimes focusses too much on the details on a certain task or program and
spend too much time analyzing specifics.

7. Would you rehire this individual? Definitely YES If your answer is NO, please explain

8. Please rate the individual in the following areas: Good Fair Poor Comments
Disposition, tact, ability to get along with others
Rapport with students (if applicable)
Initiative, resourcefulness
Rapport with parents/community
Ability to perform duties and responsibilities
Response to supervision
Promptness and attendance
Classroom (or employee) management skills
9. Do you know of any reason why this individual could not perform the job duties and responsibilities
of the position for which (s)he is being considered? Yes No
If your answer is YES, please comment:

10. Are you aware of conduct by the individual that would affect the individual’s licensure in the future?
Yes No If you answered YES, please explain:

Person completing reference check (signature) Date 10-19-2019

Please fax or email the completed form to:
Name:
Email:
Fax:

Thank you for your assistance!

10/15/2019