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Employee Reference Form
Please use the form below to submit your reference
Subject of this reference
Name
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First
Last
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Period of Employment
Start Date
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End Date
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Employment Position
Position(s)
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Assessment of Performance
Please select from each of the lists below as appropriate
Work Performance
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Attitude
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Reliability / Attendance
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Timekeeping
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Excellent
Good
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IT Skills
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Honesty / Integrity
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Would you re-employ this person?
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Yes
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Is it your Company policy to re-employ?
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Yes
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Referee Details
Referee Name
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Referee Email
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Contact Phone Number
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Position
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Company Name
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Relationship with the candidate
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Describe your relationship with the employee. Include your professional relationship, the length of time you’ve known the employee and if you know them on a personal level.
Why they are a strong candidate?
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Please add at least one specific experience that you shared with the employee that shows their capabilities. Detail the skills they used and the outcome of the experience.
Additional Comments
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