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Reference Form

The document is an employee reference form from Aga Khan University Hospital in Nairobi, Kenya used to evaluate a former employee's qualities such as attendance, professionalism, work quality, teamwork, and more. The form requests the employee's information, dates of employment, positions held, and reasons for leaving before having the evaluator rate the employee's qualities and provide any additional comments.

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40 views2 pages

Reference Form

The document is an employee reference form from Aga Khan University Hospital in Nairobi, Kenya used to evaluate a former employee's qualities such as attendance, professionalism, work quality, teamwork, and more. The form requests the employee's information, dates of employment, positions held, and reasons for leaving before having the evaluator rate the employee's qualities and provide any additional comments.

Uploaded by

Forward Bias
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Aga Khan University Hospital (Nairobi)

EMPLOYEE REFERENCE FORM

Employee name; __________________________________________________________________


Name of Organization: __________________________________________________________________
Date of employment: __________________________________________________________________
Date of employment termination: __________________________________________________________________
Positions Held: __________________________________________________________________
Period: - __________________________________________________________________
--------------------------------------------------------------------------------------------------------------------------------------------------------------
Please evaluate the above named employee on the listed qualities below and any other you may deem appropriate.
Please use the following assessment measurements;
Very good (VG), Good (G), Average (A), Poor (P), Not applicable (NA)
Quality Assessment Comments (if any)
Attendance/Punctuality
Professionalism at work
Willingness to perform assigned work
Ability to meet set deadlines
Quality of work
Ability to work in a team environment
Ability to work independently
Creativity/Initiative/ability to offer new ideas
Analytical thinking capabilities
Public relations/customer care skills
Honesty/ reliability and integrity
Enthusiasm for self development
Overall performance

Reasons for leaving: ___________________________________________________________________


______________________________________________________________________________________
Please give any additional comments (e.g. would you recommend her/him for employment?)
________________________________________________________________________________________________________
________________________________________________________________________________________________________
__________________________________________________________________________
Name of Evaluator: ___________________________________ Title: _______________________________________
Signature: __________________________________________ Date: ______________________________________
Thank you for the evaluation. Please stamp the form with your official stamp or seal for authenticity.

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