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Employee Review

Name *
Reference For
Email *
Job Title
Name of Referee
Position of Referee
Referee's Email
Name of Trust/Hospital
Capacity in which the candidate is known to you

Date of Employment

From
To
Reason for Leaving
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EXCELLENT
Good
Satisfactory
Poor

time keeping

Attendance

Reliability

Work Performance

Ability to work in a team

Ability to work on own

Interpersonal Skills

Honesty and Integrity

Enthusiasm

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.
Do you consent to this reference being shared with the candidate
Would you employ the candidate again? If "No" please provide information as to why.

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