Employee Review

Reference For

Job Title

Name of Referee

Position of Referee

Referee's Email

Name of Trust/Hospital

Capacity in which the candidate is know to you

Date of Employment

Reason For Leaving

Time Keeping

Poor

Attendance

Poor

Reliability

Poor

Work Performance

Poor

Ability to work in a team

Poor

Ability to work on own

Poor

Interpersonal Skills

Poor

Honesty and Integrity

Poor

Enthusiasm

Poor

What other comments would you like to make about this person

Was the candidate subject to any formal form of performance management/disciplinary action within the last 12 months? If "Yes", please provide information regarding the action taken.

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Do you consent to this reference being shared with the candidate

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Would you employ the candidate again? If "No" please provide information as to why.

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