new non-teaching reference form template

Name of Candidate:

Joao Paulo Cardoso Baltazar BernardoDOB:

31/08/1980This person was employed by you from: October 2009 to: September 2011 as: Clinical PsychologistYour companys address:

Please complete as appropriate:

Good

SatisfactoryUnsatisfactoryComments

Attendance

X

Punctuality

X

Initiative

X

Reliability

X

Relationships with colleagues

X

Relationships with clients

X

Time management

X

Was this candidate subject to disciplinary proceedings whilst employed by you: NO

Would you employ the above named candidate in your company:

YES

Can we disclose this reference to a future employer?

YESFurther Comments (if necessary):Signature:

Position: Clinical Psychologist Date: 2013/05/06

Thank you, once again, for your assistance.

Email: education@supremerecruitment.co.ukTel: 020 8577 2442Fax: 020 8577 6351Supreme House 2 Kingsley Road Hounslow Middlesex TW3 1NP

Tel: 020 8577 2442 recruitment@supremerecruitment.co.uk www. supremerecruitment.co.uk

Supreme Personnel Limited Registered in England 3236982 Registered Office: 346a Farnham Road, Slough, Berkshire SL2 1BT