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Candidate Reference Request Form

This document is a reference request form for an applicant's previous employment. It asks for the applicant's name, position applied for, dates employed, nature of duties, ratings in various categories, sickness record, reason for leaving, and whether they would be reemployed.

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Nimraj Patel
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10 views1 page

Candidate Reference Request Form

This document is a reference request form for an applicant's previous employment. It asks for the applicant's name, position applied for, dates employed, nature of duties, ratings in various categories, sickness record, reason for leaving, and whether they would be reemployed.

Uploaded by

Nimraj Patel
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Reference Request on MMA RECRUITMENT

behalf of:

Name of Applicant

Position Applied For

Company / Hospital Dates Employed - From: To:


In what Capacity was he/she employed?
Is this Candidate known to you personally?
(if so, how long and what capacity?)

Please give brief description of nature of duties

To the best of your knowledge, please tick the appropriate box . . .


Excellent Good Fair Poor
Time Keeping
Attendance
Ability
Conduct

Please state sickness record over the last 12 months No of Days


No of Episodes

Please state reason for leaving


Would you re-employ the Candidate?
(if no, please state why)

Any further Comments . . .

SIGNED: DATED:

NAME: POSITION:
(In block capitals)

OFFICIAL COMPANY STAMP: COMPANY ADDRESS:

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