Save and Continue Later Send The Applicant listed below selected you as a reference in his/her job application. Please take a moment and answer the following questions. Click the "NEXT" button below to start. Maximum time expected is less than 4mins. Name of Applicant (Filled by Sustain Staffing. DO NOT EDIT). * 0/50 Position Applying for: Select Certified Nursing Assistant (CNA) Trained Medication Assistant (TMA) Licensed Practical Nurse (LPN) Registered Nurse (RN) Save and Continue First Name * 0/25 Last name * 0/25 Phone Number * What is your relationship to the applicant? (select the most appropriate) Professional (Manager/Supervisor) Co-worker Educational(school mate) Casual Save and Continue How long have you known the applicant? 0-1yr. 1-3yrs. 3yrs and above. In general, how does the applicant get along with people? * Select Professional Unprofessional Friendly Rude Not sure What three words, would you use to describe the applicant? * 0/250 What would you describe as the primary positive skills and traits of the applicant? * What would you describe as negative traits (if any) or areas of weakness for the applicant? Save and Continue Is there anything else you can tell us that might help us reach a good decision?