Annex 4: Reference Request Form
This document is for recruitment purposes only and is to be kept strictly confidential.
Section 1
To be filled by the hiring office
Name of Applicant Irshad Ullah
Position applied for Enumerator
Section 2
To be filled by the referee
Name of Referee Click here to enter text.
Position & Location Click here to enter text.
Organization/Company Click here to enter text.
QUESTION 1
What was the nature of your relationship with the applicant and in what
capacity was the applicant employed by the organization?
Please indicate the nature of your relationship with the applicant.*
☐ Current ☐ Previous ☐ Peer/ ☐ Other, please specify
Supervisor Supervisor Colleague below
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Please indicate the dates you worked with the applicant.
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QUESTION 2
How would you evaluate the applicant’s overall work performance?
Overall work Please choose from the drop-down menu.
performance
Please explain your rating.
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QUESTION 3
What were the applicant’s greatest professional strengths and
achievements?
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QUESTION 4
Please comment on the applicant’s organizational and planning skills and
overall efficiency.
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QUESTION 5
Please comment on the applicant’s communication, negotiation, and
analytical skills.
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QUESTION 6
Which of the tasks or areas outlined on the Post Description would the
applicant find challenging and why?
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QUESTION 7
What made the applicant an effective supervisor/manager?
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QUESTION 8
How effectively did the applicant interact with colleagues, subordinates,
and senior management? How did the applicant handle difficult people?
What was the applicant’s conflict resolution protocol?
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QUESTION 9
In stressful situations, please describe how the applicant responded. We
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would appreciate if you could provide examples to illustrate your
assessment.
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QUESTION 10
Has the applicant been suspected of misconduct? To the best of your
knowledge, has the applicant, whether as an employee, (international)
civil servant, individual independent contractor or otherwise, ever been
subjected to any disciplinary measure, contract termination, contract non-
renewal or non-extension, or has this person resigned while under
investigation or during disciplinary proceedings, for or in connection with
(allegations of) fraudulent, collusive, coercive, obstructive or unethical
practices, misconduct, harassment, sexual harassment, abuse of authority,
sexual exploitation or sexual abuse, retaliation, or poor or inadequate
performance?
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QUESTION 11
Would you rehire the applicant?
Please choose from the drop-down menu.
Please explain if you have selected "Yes, with reservations", or "No".
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QUESTION 12
Is there anything else we should know about the applicant’s performance
or personality?
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Signature Date
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We appreciate your feedback and contribution.