General Employment Reference

Applicant Name:



Applicant Job Title:



Please give a short summary of their duties/responsibilities in this role.

Dates of Employment

From:

dd-MMM-yyyy

To: (eg 03-May-2016)

dd-MMM-yyyy

Please tick which box accurately applies to the applicant:

Do you have any further information you feel would be relevant to an employer?



Would you re-employ applicant?

-Select-YesNo

If no, please state reasons why:



Signature:



Print Name:



Date:



Company name:



Position Held:


Submit