Describe the role and evidence your staffing team needs. Makeform builds a travel nurse reference form with relationship details, competency ratings, attendance feedback, and a rehire recommendation.
Route completed references to email, Slack, Google Sheets, and Zapier.
Sample prompts for the builder
Choose a starting point, tailor it, and send it to the Makeform builder.
Audience
Charge nurses and unit managers who supervised an acute care applicant
Format
Competency ratings with required examples
Prompt size
323 chars
Example form structure
Competency ratings with required examples
Applicant and referee details
Facility, unit, and dates supervised
Rate key workplace competencies
Example supporting your ratings
Would you rehire this nurse?
Suggested routing tags
Reference requested
Reference received
Follow-up needed
Ask for the unit and supervision dates so recruiters can interpret the ratings.
Step 1
Request
send a unique reference link to the supervisor
Step 2
Verify
capture relationship, facility, unit, and dates
Step 3
Assess
collect consistent ratings with supporting context
Step 4
Route
flag follow-up and move the applicant review forward
Why structure references
A focused form asks every supervisor for the same context, ratings, and follow-up details.
Facility, unit, dates, and relationship show what the referee directly observed.
Labeled choices and Not observed are clearer than unexplained numbers.
Conditional questions request context after low ratings or uncertain rehire answers.
Built for staffing teams
Keep a stable core, then reveal questions relevant to the specialty and referee's experience.
Reveal a short section based on the selected unit or specialty.
Group ratings, offer Not observed, and limit long answers to useful context.
Send the form link by email and track requested, received, and follow-up-needed statuses in the staffing workflow.
Ask about performance and avoid patient identifiers or unrelated personal details.
Reference workflow
Start with useful evidence, then test the route from invitation through review.
List the specialties, eligible referees, and employment facts to confirm.
Define each scale point, add Not observed, and adjust specialty prompts.
Request low-rating context and show specialty questions only when relevant.
Share the link, notify the recruiter, and route concerning answers for review.
Form vs email vs phone notes
A form creates a consistent first pass and shows where follow-up is needed.
Field guide
Use observable workplace criteria and collect enough context to interpret each reference.
People and relationship
Capture names, referee title, work contact, and whether they were a supervisor, manager, charge nurse, or colleague. The relationship helps reviewers interpret the response.
Assignment context
Ask for facility, unit, role, dates worked together, and supervision duration so recruiters can judge the context.
Core ratings
Use one labeled scale across core competencies. Include Not observed so referees need not guess about skills they did not see.
Conditional detail
Reveal specialty questions by unit and require an explanation below the review threshold. This keeps the default form short.
Narrative evidence
Ask for a strength, a development area, and response to feedback. Tell referees not to include patient identifiers.
Decision and confirmation
Ask about rehire eligibility, allow comments, and collect follow-up permission. A typed confirmation records who responded.
Related tools
Connect reference collection with candidate intake, structured assessment, employment applications, and supervisor feedback.
Create a general professional reference form for roles beyond travel nursing.
Open toolGive recruiters a structured scorecard for reviewing application evidence.
Open toolCollect consistent candidate contact, experience, availability, and role details.
Open toolBuild a complete employment application for the start of the hiring workflow.
Open toolGather structured performance observations from supervisors and managers.
Open toolRequest personal references when a separate character perspective is appropriate.
Open toolFAQ
Practical answers for staffing teams creating a consistent supervisor reference process.
It is a questionnaire for a former supervisor or professional referee. It confirms the relationship and asks about observed performance, reliability, teamwork, adaptability, and rehire eligibility.
Ask for referee, facility, unit, relationship, and supervision dates. Add labeled workplace ratings, Not observed, low-rating context, strengths, development areas, rehire eligibility, and follow-up permission.
Use the same defined scale for every core competency. Labeled choices such as Below expectations, Meets expectations, Exceeds expectations, and Not observed are clearer than numbers alone.
Yes. Use the selected specialty or unit to show a short relevant section. Keep core performance and reliability questions consistent for comparison.
Show a required context field below your review threshold and route the submission to the recruiter. The staffing team decides how to interpret it.
They can describe professional behavior generally, but should not enter patient names, record numbers, or identifiable case details. Ask for observed behavior, not case specifics.
Yes. Makeform provides unlimited free forms and responses, so a staffing team can generate, edit, publish, and collect references without a response cap. The paid tier removes the Makeform badge.
Responses arrive in the Makeform inbox. Notify recruiters by email, add workflow tags, or send selected fields to Slack, Google Sheets, and Zapier.
Make every supervisor reference easier to review.
