Behavioural Reference Check - Teacher/Counsellor

W̱SÁNEĆ School Board Reference Check Form - Teacher/Counsellor Applicants

Your Name(Required)
Please provide your email address should we need to contact you further.
If you prefer follow up via phone call, please provide your phone number below.
Please provide the full name of the candidate for which you are providing a reference.
Privacy Preference(Required)
The candidate has agreed that all references will be received in confidence and therefore, will not be shared with the candidate except in summary form with no reference to the party supplying the information. Do you wish to provide this reference to me in confidence?
Are any of your comments limited by a Confidentiality Agreement? If No, please respond: NO If Yes, please read and answer the following questions: What is the nature of this? Who is the designated spokesperson?
How long have you known the Candidate?(Required)
Rating Based on 5-Point Scale: 5 – Excellent – Demonstrated the criterion to an extremely high degree 4 – Good – Demonstrated the criterion to a fairly extensive degree 3 – Satisfactory – Demonstrated the criterion to an average or moderate degree 2 – Less than satisfactory – Demonstrated the criterion to a limited degree 1 – Poor – Demonstrated the criterion to minimal or no degree. Not Applicable: You have not observed the candidate in relation to this behavioural question. *Please rate the individual from 1-5 points for each skillset, in accordance with the rating system above to a maximum of 50 points total. Each question has 5 probes to assist you in determining an overall rating for each skillset. For example, when assessing perseverance in question #1 if the individual demonstrates all five indicators, then you would rate the individual 5/5. Please feel free to use the space provided to share any additional comments or concerns; however, the scoring for the 10 questions is ultimately what we will be utilizing to help determine the successful candidate.
1. Perseverance(Required)
Does the candidate demonstrate the following: • Does not easily give up when faced with adversity and challenge • Sets high standards for self and others • Willingly spends extra time to make sure work is done well • Identifies needs and takes initiative to complete tasks • Acknowledges mistakes and is willing to make changes
Please share any additional comments or concerns below.
2. Communication(Required)
Does the candidate demonstrate the following: • Expresses oneself clearly in writing in an organized and grammatically correct manner • Listens to and understands the communication of others • Effectively presents information, ideas and principles • Creates appropriate communication processes to provide information both to and from the First Nations community and the school • Always has an open mind and willing to consider another person’s perspective
Please share any additional comments or concerns below.
3. Interpersonal Skills(Required)
Does the candidate demonstrate the following: • Demonstrates ability to work with diverse groups of people / individuals in a respectful manner • Demonstrates knowledge of strategies to work through conflict with others in a productive and respectful manner • Perceives and reacts empathetically to the needs of others • Displays a positive attitude towards working with others • Being present, visible and engaged with school and students in the community in the operationalization of community educational goals
Please share any additional comments or concerns below.
4. Planning & Preparation(Required)
Does the candidate demonstrate the following: • Knows how to plan for a unit incorporating current learning theories that ensure best practice • Plans for and demonstrates knowledge of a variety of instructional approaches, accommodating for different learning styles • Connects and adapts instruction to students’ prior knowledge, life experience and interests • Has a strong academic understanding / base of the subject matter • Knows how to plan and design for instruction including the creation of logical and sequential lessons that relate to the curriculum frameworks and standards
Please share any additional comments or concerns below.
5. The Classroom Environment(Required)
Does the candidate demonstrate the following: • Uses strategies that effectively manages groups, transitions, materials and systems so that classroom instruction runs smoothly • Able to create a classroom environment based on respect and rapport ensuring positive interactions occur between a teacher and students and students to students • Creates a welcoming environment that is respectful of diverse ethnic, religious, linguistic, cultural, and socio-economic backgrounds • Treats students with consideration, sensitivity, kindness, and fairness • An understanding and sensitivity of First Nations cultures and the strengths and challenges of the community – valuing First Nations people and their contributions
Please share any additional comments or concerns below.
6. Instruction(Required)
Does the candidate demonstrate the following: • Connects and adapts instruction to students’ prior knowledge, life experience and interests • Understands the concept of Assessment for Learning and demonstrates experience with its use • Understands how literacy affects achievement across the curriculum and grade levels and demonstrates the proficient use of literacy strategies to affect student achievement across the curriculum • Ability to understand, demonstrate and support the integration of First Nations culture and learning into all subject areas • Able to vary instructional groups, differentiate and adapt instruction for a variety of developmental stages and ability levels
Please share any additional comments or concerns below.
7. Assessment(Required)
Does the candidate demonstrate the following: • Creates with students, clear assessment criteria • Evaluates and writes summative reports on student progress • Implements a variety of assessment strategies to monitor student progress • Able to demonstrate that ongoing assessment is congruent with instructional goals and informs teaching practice; uses assessment to inform and adapt instruction • Provides a clear example of expectations to students to achieve student success
Please share any additional comments or concerns below.
8. Professional Responsibillites(Required)
Does the candidate demonstrate the following: • An understanding of how the school and community are connected and seeking opportunities to positively represent the school, First Nations staff and support First Nation learners • Makes positive contributions to the school and/or district by participating in school events or assume a leadership role in some aspect of school life • Reflects on teaching practice and devises ways for self improvement on an ongoing basis • Understands importance of being a positive role model for students • Demonstrates commitment to life-long learning for self and others
Please share any additional comments or concerns below.
9. Student Relationships(Required)
Does the candidate demonstrate the following: • Demonstrates sincerity in his / her desire to work with students to enhance their learning • Purposefully develops connections and relationships with kids • Believes they can make a difference in students’ learning and takes responsibility when students don’t learn • Understands how their interpersonal interactions with children may affect achievement • Seeks out information about students and their needs
Please share any additional comments or concerns below.
10. Specifics in relation to position applied for.(Required)
• Is this candidate strong in classroom management skills? • Has the candidate participated in extra-curricular activities? • Has the candidate contributed to community engagement? • Does the candidate understand the importance of community engagement in a FN school? • Is the candidate committed to life-long learning?
Please share any additional comments or concerns below.
End of reference check: Thank you very much for your contributions and time. Your feedback is appreciated. Feel free to provide any additional comments in the space below.