Structured interview reference form 2026

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The document is a Fellow Reference Form for candidates seeking the FACHE credential from the American College of Healthcare Executives (ACHE). It outlines the process for candidates to provide references, emphasizing the importance of competence, judgment, integrity, and ethics. The form includes structured interview questions that references should ask candidates regarding their career paths, goals, mentoring experiences, adherence to ACHE's Code of Ethics, and commitment to diversity in healthcare. Confidentiality is assured for all responses.

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Click ‘Get Form’ to open the structured interview reference form in the editor.
Begin by filling out the candidate information section. Enter the candidate's name, title, organization, and address accurately.
Next, complete the reference information section. Provide your name, address, city, state, and zip code as requested.
Review the structured interview questions provided on the form. Prepare your responses based on your knowledge of the candidate’s professional reputation.
In the comments section, share your insights regarding the candidate’s competence, judgment, integrity, and ethics.
Finally, sign and date the form before submitting it. You can send it via fax or mail to ACHE as instructed.

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