CREDENCE SCREENING ENTERPRISE

BUILDING TRUST - ONE VERIFICATION AT A TIME

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Full Name *

Company Name *

Job Title *

Contact Number *

the that candidate’s

Email *

Candidate Full Name *

Your Relationship to the Candidate *

Company where you worked with the candidate *

Candidate job title *

Employment Start date *

Employment End Date *

Reason for leaving *

How would you rate the candidate’s overall performance? *

Strengths of the candidate *

Areas of improvement

How was the candidate’s reliability and attendance? *

How did the candidate interact with colleagues and management? *

Would you re-employ this candidate? *

If no, please provide reasons

Any additional comments

I confirm that the information provided is true and accurate to the best of my knowledge *

Referee Name & Surname (Electronic Signature) *

Date Completed *

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