MSF France Candidate Reference Check Form
On what position / for how long you have been supervising the candidate and in which organization?
I worked as the direct supervisor of (Your Name) during his employment as a Registered Nurse at [Organization Name].
I supervised his work for approximately [duration] and had regular opportunities to assess his clinical performance,
teamwork, and professional conduct.
Kindly briefly tell us about the applicants work and his work quality.
Mr. Adamu is a competent and hardworking nurse who consistently delivers quality patient care. He demonstrates sound
clinical judgment, pays close attention to detail, and remains calm during emergencies. He is proactive in identifying
patient needs and follows clinical protocols appropriately. His work is of a consistently high standard and requires
minimal supervision.
What are the applicant strengths and weaknesses?
One of his greatest strengths is his ability to remain composed and effective in demanding situations. He is respectful,
accountable, and works well with colleagues from different professional backgrounds. He is also eager to learn and
accepts feedback positively.
A minor weakness is that he can be highly self-demanding and occasionally spends extra time ensuring tasks are
completed to the highest standard. However, this has never negatively affected his performance.
In which areas does applicant need improvement?
As he progresses in his career, I believe additional experience in team leadership, staff supervision, and project
coordination will further strengthen his professional capacity. He has shown the potential to perform well in these areas.
How do you consider the applicants written and verbal communication skill?
His communication skills are very good. He communicates clearly and professionally with patients, caregivers,
colleagues, and supervisors. His clinical documentation is accurate, organized, and completed in a timely manner.
How would you describe the applicant's punctuality and reliability?
Mr. Adamu is highly dependable. He consistently reports to duty on time, can be relied upon during challenging shifts,
and takes ownership of his responsibilities. Throughout the period I supervised him, he demonstrated a strong sense of
commitment and professionalism.
Would you re-employ him/her?
Mr. Adamu has demonstrated integrity, professionalism, and dedication to patient welfare throughout the time I have
known him. He adapts quickly to changing circumstances, performs well under pressure, and maintains a positive
attitude even in difficult situations. Based on my experience working with him, I believe he would be a valuable asset to
any healthcare or humanitarian organization.
Is there anything else you would like to add about this applicant?
Referee information
Name: __________________________________________
Position: _________________________________________
Organization: _____________________________________
Date: ___________________________________________