Locum Referance Form Name Of Candidate Organisation Name and Position Held When did they do locum or permanent work? Start Date End Date Candidate RatingsRatingsExcellentVery GoodGoodSatisfactoryUnsatisfactoryDiligence at work Reliability / Time-keeping Attendance Trustworthiness / Honesty Ability to work on own Ability to work in a team Work Performance Interpersonal Skills Enthusiasm Communication Skills Managerial Skills (where appropriate) Additional Information Reason for leaving Would you re-employ this person as a staff member YES NOReferee details Your Full Name Job title Organisation Contact Telephone Number Work Email I accept the terms of your Privacy Policy
