✅
B
Dunn & Braxton
RC: 1502962
PERSONAL REFERENCE FORM
(Confidential)
1. What is your relationship to the staff: ____________________________________
Colleague
2. How long have you known the staff: ____________________________________
15 years
3. Would you recommend the staff to our organisation for employment? __________Yes
_________________________________________________________________
4. Please comment on the staff’s character and capabilities: ____________________
Gbemi is a dynamic and
_________________________________________________________________
result driven individual with excellent communication skills.
5. Based on your knowledge and interaction with the staff, please rate him/her on the
following parameters:
Excellent Very Good Good Fair Poor
i. Honesty () () () () ()
ii. Reliability () () () () ()
iii. Trustworthiness () () () () ()
iv. Creativity () () () () ()
v. Decisiveness () () () () ()
6. Briefly explain what you would regard as the staff’s area of weakness (es): _____
Gbemi has exceptional strengths, and areas for growth which includes refining time
management and to prioritize tasks more effectively. With training and practice, she would excel in this area.
_________________________________________________________________
She is a collaborative and emphathetic
7. Kindly state any other useful/helpful information: _________________________
team player.
_________________________________________________________________
Referee’s Personal Information
8. Name: ___________________________________________________________
Khadijah Ibrahim
Medical Social Worker
9. Profession/Status: __________________________________________________
10. Present Employer: ________________________________________________
Lagos State University Teaching Hospital
11. Employer’s Address: ______________________________________________
1-5, Oba Akinjobi Way, Ikeja, Lagos.
_________________________________________________________________
_________________________________________________________________
Signature/Date: ____________________________________________________
18/11/2024
Telephone no: ______________________
07087727484