Date: Reference Referee name: Req number: Candidate
31st July 2025 Check TBC Name:
conducted by: Mohamed
Rashad Ali
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What is/was your connection to the Candidate?
Peer, co-worker or colleague
Supervisor - manager
Subordinate
Friend (no past or current work relation)
Professor
Client
Other
If Other, please explain the nature of your connection: Click or tap here to enter text.
Where did you work/study with the Candidate?
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How recent is your relationship with the Candidate?
Currently interact/ work together
Interacted/worked together in the past 2 years
Interacted/worked together 2-5 years ago
Interacted/worked together 5+ years ago
How long did you work/interact with the Candidate?
Less than 6 months
Between 6 and 18 months
Between 18 months and 3 years
More than 3 years
Main responsibilities of the Candidate?
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Rate the overall quality of the Candidate job performance. (1= Poor quality, 5=Very good
quality)
1 2 3 4 5 Not Applicable
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Name 3 key strengths of the Candidate?
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2. Click or tap here to enter text.
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Rate the following as shown by the Candidate during the time you interacted/worked
together.
(1= Poor quality, 5=Very good quality)
Quality of work 1 2 3 4 5 Not Applicable
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Time management and organizational skills 1 2 3 4 5 Not
Applicable
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Work ethic and reliability 1 2 3 4 5 Not Applicable
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Ability to work as part of a team 1 2 3 4 5 Not Applicable
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Name the Candidate most significant accomplishment with your company?
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Name 3 key areas of improvement for the Candidate
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What was the Candidate reason for leaving (if not current position)?
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If you had the opportunity, would you hire or recommend hiring the Candidate again?
(1=Highly unlikely, 5=Very likely)
1 2 3 4 5 Not Applicable
If you answered 3 or below, please explain: Click or tap here to enter text.
Is there anything else you think we should know about the Candidate?
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