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The!purpose!of!this!form!is!to!provide!a!character!reference!for!the!IDTS!
candidate.!This!reference!will!support!the!candidates’!role!as!a!person!of!
authority!over!min ors.!
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How!long!have!you!known!the!teacher!candidate?!______________________________________________________________!
In!what!position/relationship!do!you!have!with!the!candidate?!_________________________________________ ______!
To!the!best!of!your!knowledge,!does!the!candidate!have!a!criminal!record?!!E'F!!!!!!!!! D-(
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0'$F-+(3+(&"'(0-F3&3-+(-*(#9&"-$3&2(-6'$(.3+-$F?!
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________!
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________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________!
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%"318$'+?!
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________!
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Candidate!Name:!_____________________________!
Candidate!Address:!__________________________!
City:!_______________!Province/State:!_________!
Postal/Zip!Code:!_____________________________!
Country:!______________________________________!
Email:!___________________________________ ______!
Reference!Provider!Name:!____________________!
Reference!Provider!Address:!_________________!
City:!_______________!Province/State:!___________!
Postal/Zip!Code:!_______________________________!
Country:!________________________________________!
Email:!___________________________________ ________!
!
