BACKGROUND INFORMATION FORM

(for Staff)

Name of Applicant: Jerome Casino

May we request for a background information regarding the applicant whose name is written above. We value your
candid and honest evaluation, to assist us in making the proper decision regarding his/her application to Xavier
School. Rest assured that the information you will provide will be kept confidential. After accomplishing the form
completely, please email this to jobs@xs.edu.ph. For queries or concerns, Thank you for your assistance.

1. State the nature of the applicant’s previous/current job in your company/institution.

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System Developer / Operations Manager
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2. Why is s/he leaving your company/ institution?

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Systems are done and semi automated already.Right employees are well trained to the job and the company can
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now run without his supervision, Jerome wants to go back to Engineering career.

3. How would you describe his/her relationship with

a. Subordinates ___________________________________________________________________________________
Great. Work well with Team.
b. Supervisors _____________________________________________________________________________________
Respectful. Listen to criticisms and work on them.
c. Others __________________________________________________________________________________________
OK. Has great respect for others.

4. What would you consider his/her strengths on the job?

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Great with systems and automations, Always find a way to do the job faster and more efficiently.

5. What would you consider his/her areas for improvement?

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Needs to check emails more frequently for company communication

6. Has s/he been involved in any disciplinary case? ____ YES _____ / NO
If yes, please indicate the offense, date(s) and sanction(s) given: (Kindly attach necessary documents, if any)
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

7. Other than the information mentioned above, is there anything else you feel we should know about this
person?
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

OVERALL RECOMMENDATION (Please check the appropriate box)

Strongly Recommended Not
Recommended
Recommended w/ Reservations Recommended
Professional Competence q
/ q q q
Work Ethics q
/ q q q
OVERALL RECOMMENDATION q
/ q q q
If rating is Recommended with Reservations or Not Recommended, kindly give a brief explanation:
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_________________________________________________________________________________________________________________

Accomplished by:
Name: __________________________________________________
Vanessa Dela Cruz Institution: ___________________________
E-Commerce
Signature: __________________________________________________ Telephone No. ___________________________
0917-8956913
Position: __________________________________________________
HR Date: ___________________________
12/06/2023