Admin Reference Form Candidate Name(Required) First Last Reference Name(Required) First Last Reference Title(Required)Reference Phone Number(Required)Reference Email(Required) Company Name(Required)Company Address(Required)Please include full address with city, state, and zip code if possibleDid you have direct supervision over this candidate?(Required) Yes No Start Date (MM/YYYY)(Required) Month If unknown, type 01 Year End Date (MM/YYYY)(Required) Month If unknown, type 01 Year Is this individual currently employed at this company?(Required) Yes No What was the candidate's Job Title at this company?(Required)Briefly Summarize their Duties and Responsibilities(Required)How was their Attendance and Punctuality?(Required)How was their Work Attitude/were they a Team Player?(Required)Briefly describe their Work Ethic/Dedication to the job(Required)Did they require Additional Supervision on tasks?(Required)Reason for Leaving(Required)If unknown, please write N/AAre they eligible for rehire?(Required) Yes No Any Additional Feedback/Input on this Candidate?Consent(Required)By checking this box, you agree that Level One Personnel may use your reference to consider this candidate's eligibility for employment. You also understand that we may contact you regarding this reference and the information provided. I confirm that all information provided on this reference is true and accurate to the best of my ability
