Attachment D - Reference Check Form.pdf
PDF 138 KB Posted
- Attached to
- Language Proficiency Assessment Services
- Solicitation number
- S-47100-00017432
- Issued by
- Oregon
About this file
This is a Reference Check Form (Attachment D) for RFP S-47100-00017432 issued by the Oregon Employment Department for Language Proficiency Assessment Services. The form is designed to be completed by reference entities that have experience working with offerors providing language proficiency assessment services. References are requested to evaluate offerors across four primary service categories: accommodation for staff with disabilities, understanding of organizational goals for staff language proficiency assessments, actionability of assessment reports including skill area breakdowns and proficiency level descriptors, and the interpretability of results for non-expert users such as program managers and HR staff. Each category is rated on a scale of 0 to 10, with 10 representing outstanding performance exceeding expectations and 0 indicating unacceptable performance. The form captures reference entity information, contact details, the duration of the service relationship in years, and requires a signature and date from the reference contact.
The Reference Check Form does not contain information regarding pricing, contract terms, renewal options, funding sources, or other financial considerations. Instead, it serves as a due diligence tool to assess offeror qualifications and performance history based on direct feedback from existing or former clients. Completion of the form by multiple references would provide the Oregon Employment Department with objective evaluation data to inform vendor selection decisions for the language proficiency assessment services contract.
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Text version
ATTACHMENT D – REFERENCE CHECK FORM
RFP S-47100-00017432 Language Proficiency Assessment Services
Offeror Name:
Reference Entity:
Reference Contact Name:
Reference Telephone Number:
How long has the offeror been providing your organization with the Services? Years:
This form is fillable and Signature friendly. Rate each of the service categories provided by Offeror.
Once you have entered your rating for each category, please sign the bottom of the form and return the completed form to the offeror. It is not necessary to provide a narrative statement. Only your rating of the services provided is required.
The table below is intended only as an example of how the points may be assigned to each of the categories.
10 OUTSTANDING – Performance exceeded all expectations.
7 – 9 VERY GOOD – Performance was better than expected.
4 - 6 ADEQUATE – Performance was as expected.
1 – 3 FAIR – Performance was below expectations.
0 POOR – Performance was not acceptable.
How would you rate the accommodation they provide for staff with disabilities?
How would you rate the Offeror’s understanding of your goals for staff language proficiency assessments?
How would you rate the actionability of the reports (e.g., breakdown by skill area, recommendations, proficiency level descriptors)?
How would you rate how easily the results can be interpreted by non-experts, such as program managers or HR staff?
Reference Signature Date
Reference Email address:
| Offeror Name: |
| Reference Entity: |
| Reference Contact Name: |
| Reference Telephone Number: |
| Years: |
| How would you rate the accommodation they provide for staff with disabilities: |
| How would you rate the Offerors understanding of your goals for staff language proficiency assessments: |
| How would you rate the actionability of the reports eg breakdown by skill area recommendations proficiency level descriptors: |
| How would you rate how easily the results can be interpreted by nonexperts such as program managers or HR staff: |
| Date: |
| Reference Email address: |
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