Lab Student's Personal Reference
(only required for on-campus lab)
__________________________ will be attending Early Learning Center Child Care as a lab
student to fulfill the Early Childhood Education course requirements. Since working with
children requires tremendous responsibility, we are concerned about integrity, dependability,
emotional stability, the ability to work with children and adults, and the potential to learn the
skills of child care.
Listed below are traits associated with success.
Rank the traits: "E" for excellent, "G" for good, "F" for fair, "NK" for no knowledge
_____ professional
_____ confidential
_____ creative
_____ enthusiastic
_____ energetic
_____ mannerly
_____ responsible
_____ adaptable
_____ cooperative
_____ dependable
_____ orderly
_____ punctual
_____ patient
_____ understanding
_____ positive
_____ pleasant
How long have you known this lab student? ______________________________________________
__________________________________________________________________________________
What do you consider this lab student's best qualities? ______________________________________
__________________________________________________________________________________
Would you recommend this lab student to work with young children? _________________________
__________________________________________________________________________________
Comments ________________________________________________________________________
__________________________________________________________________________________
Signature ________________________________ Phone Number _____________________
Address ________________________________ Date _____________________________
_________________________________________
PERMISSION FOR REFERENCE INFORMATION
I hereby give permission to __________________________ to complete a personal reference
for me that will be kept on file at Early Learning Center Child Care.
_____________________________________________
Signature of Lab Student
PERM10-uu (AC) TWO completed forms required for on campus lab. 6/21/18