Referrers Details
Please enter your details below if you are the referrer
Name
*
Referrers First Name
Referrers Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Position/Title
Organisation
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Candidate's Details
Please enter the details for the person you are referring
Name
*
Candidate First Name
Candidate Last Name
Your relationship to the candidate
*
Direct manager/supervisor
Colleague
Friend/family
Other
When did you work together?
*
What were the candidate’s key responsibilities? Please list at least 3 things.
*
What did the candidate achieve in their time working with your organisation?
*
What were the candidate's greatest strengths?
*
Did the candidate have any personality conflicts or performance issues in the workplace?
*
Why did the candidate leave your organisation?
*
Would you consider working with the candidate again? Why/why not?
*
Overall rating of candidate (1 being unsatisfactory and 10 being excellent)
*
Unsatisfactory
1
2
3
4
5
6
7
8
9
Best
10
1 is Unsatisfactory, 10 is Best
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Are you open to being contacted about your feedback today?
*
Yes
No
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