Candidate name
Position
Start date
End date
Reason for leaving
Honesty ExcellentGoodSatisfactoryBelow averagePoor
Work performance ExcellentGoodSatisfactoryBelow averagePoor
Attitude ExcellentGoodSatisfactoryBelow averagePoor
Time keeping ExcellentGoodSatisfactoryBelow averagePoor
Reliability ExcellentGoodSatisfactoryBelow averagePoor
Communication skills ExcellentGoodSatisfactoryBelow averagePoor
Ability to work with others ExcellentGoodSatisfactoryBelow averagePoor
Ability to work to deadlines ExcellentGoodSatisfactoryBelow averagePoor
Ability to achieve sales targets ExcellentGoodSatisfactoryBelow averagePoor
Conscientiousness ExcellentGoodSatisfactoryBelow averagePoor
Organisational skills ExcellentGoodSatisfactoryBelow averagePoor
Would you re-employ the individual given the opportunity? YesNo
Can you confirm if you know of any reason why this individual would be unsuitable to work alongside children or/and young adults?
YesNo
Please provide any other comments regarding this individual and his/her employment with you
Completed by
Company
Date
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