MCare NI

Reference Form

Reference Form

Candidate Details:

Candidate Name
Candidate Name
First
Last

Referee Details:

Your Name
Your Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Country
In what capacity do you know the candidate?
Was the position terminated?
Is the applicant currently undergoing any disciplinary procedures?
Does the applicant have any disciplinary warning still in force?
Does the applicant leave his/her post during an investigation into their conduct?
If the applicant has had custody of cash was his/her record entirely satisfactory?
Please state the standard of work provided by the applicant:
Please rate the flexibility and willingness of the applicant:
Please rate the ability to work unsupervised by the applicant:
Please rate whether the applicant would be suitable to work as part of a team:
Please rate the use of initiative from the applicant:
Please rate the timekeeping/reliability record of the applicant:
Please rate the attitude towards management from the applicant:
Is the applicant’s health generally satisfactory?