R Eferee Report Form Instructions For Referees 1 This

r eferee report form instructions for referees 1. this form may be completed in ms-word or on a printed copy. 2.

R eferee Report Form
Instructions for Referees
1.
This form may be completed in MS-Word or on a printed copy.
2.
The completed form should be provided to the applicant for review
and signature prior to being forwarded to the Selection Advisory
Committee for consideration in the assessment of the applicant.
Instructions for Selection Advisory Committees
1.
This form is part of the Recruitment Selection Package.
2.
This form may be completed in MS-Word or on a printed copy.
3.
The completed form, together with any other documents required as
part of the Selection Advisory Committee Report, are to be
returned to Shared Services.
Written Referee
This report contains a summary of comments provided by an applicant’s
referee in support of the applicant’s ability to meet the selection
criteria. A copy of the completed referee report must be made
available to the applicant.
Verbal Referee
This report may be completed by a member of the Selection Advisory
Committee or authorised representative (e.g. scribe). A copy of the
report must be provided to the referee for verification and signature.
The Selection Advisory Committee will provide the applicant with the
opportunity to view the referee report and make comment.
Note: The numerical recruitment rating scale should be used (refer to
page 4).
Applicant Details
Family Name:
 
Given Names:
 
Details of Position Applied For
Directorate:
Division:
 
Branch:
 
Section:
 
Position Title:
 
Classification:
 
Position Number:
 
Referee Details
Name:
 
Position Title:
 
Phone:
 
Organisation:
 
Email:
 
Relationship to Applicant:
 
Referee Comments for Selection Criteria
Criterion 1:  
Rating:
Comments:
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Criterion 2:  
Rating:
Comments:
Criterion 3:  
Rating:
Comments:
Criterion 4:  
Rating:
Comments:
Criterion 5:  
Rating:
Comments:
Criterion 6:  
Rating:
Comments:
Criterion 7:  
Rating:
Comments:
Criterion 8:  
Rating:
Comments:
Criterion 9:  
Rating:
Comments:
Additional Comments
If Oral Comments Provided
Comments recorded by:-
Name:  
Signature: Date:  / / 
Referee
I certify that the above comments are a true and accurate record of my
observations.
Name:  
Signature: Date:  / / 
Applicant
Name:  
Signature: Date:  / / 
Recruitment Rating Scale
Rating
Description
-----------
Indicators of Performance
-------------------------
5
Excellent
The applicant possesses exceptionally well developed and relevant
skills and abilities, and the appropriate personal qualities in
relation to this criterion, and their performance is outstanding.
This is only to be used in cases where exceptional skills have been
demonstrated against this criterion.
Is able to perform at high level without direct supervision, for one
or more reasons including:
*
excellent job knowledge
*
exceptionally reliable
*
considerable demonstrated ability in problem solving and the
application of change
*
appears to deal instinctively and effectively with all matters
relating to the position.
4
Fully Competent
The applicant possesses highly developed and relevant skills and
abilities, and would perform consistently well against this criterion.
Would require limited supervision to achieve good results, for one or
more reasons including:
*
reliability and responsibility
*
well developed (sound) job knowledge
*
able to suggest and initiate improvements
*
well able to deal with all of the routine and most of the complex
matters relating to position.
3
Competent
The applicant possesses well developed and relevant skills, abilities
and personal qualities and has demonstrated competency at the required
level.
Would require routine/little supervision to perform at an acceptable
level, for one or more reasons including:
*
reasonable/good job knowledge
*
makes few errors
*
generally reliable
*
would require guidance for more complex situations
*
could carry responsibility but would not seek it
*
could deal with all routine matters involving the position.
2
Requires Development/Satisfactory
The applicant possesses some skills, abilities and personal qualities
relevant to the criterion, but is limited on others.
The applicant would be able to temporarily perform the duties of the
position with close supervision, but would require further training
and development to meet the standard required against this criterion.
Would require close supervision to perform at an acceptable level, for
one or more reasons including:
*
only basic/general job knowledge
*
could follow directions but would require frequent
checking/follow-up
*
could deal with most routine matters involving the position
*
inconsistency with work performance.
1
Unsuitable/Unsatisfactory
The applicant is unable to demonstrate adequate skills, abilities and
personal qualities in relation to the criterion.
The applicant would not be suitable to perform the duties of the
position relevant to the criterion, even on a temporary basis.
Would be unable to perform the duties and would require constant
supervision, for one or more reasons, including:
*
limited job knowledge
*
frequent errors
*
poor work output
*
difficult carrying responsibility or solving problems
*
difficulty dealing with routine matters relating to the position.
N/A
Not Assessed
Where the referee was unable to comment on a particular criterion; or
the Selection Advisory Committee was unable to determine whether the
applicant met the selection criterion from the information provided;
or referee comments were insufficient to make an assessment.
Version 1.7 Issued 1/9/2014 Page 1 of 5
This ACT Government form is administered by Shared Services. See
http://sharedservices for current version.