Reference form

LetsLink (Pty) Ltd

Medical Recruitment Division
Referee Name:

Candidate Name:
Position: Referee Position

Organisation
Position Applied for:
Date: Telephone Number:

What is the nature of your working relationship with

the candidate?

What was the candidate’s position?

How long was the Candidate employed at your

organisation?

What were the responsibilities of the position the

candidate had while working at your company?

Do you think the candidate is qualified to assume

these responsibilities? Why or why not?

How are the candidate’s abilities regarding?

Attention to detail
Problem solving, analysis and judgement
Resilience
Delivery and action orientation
Ethical behaviour

Were there any areas of development and were

theses communicated to the candidate and how did
he or she respond?

Were there any disciplinary hearings against her?

Is this person a team player or does he or she excel by
working alone?

What is the candidate's three strongest qualities?

How would you describe the Candidates relationship

with her colleagues and management?

How would you describe the Candidates attendance

record?

Do you know why the candidate wants to leave her

current position?

1|Page LetsLink (Pty) Ltd – +27(0)11 0261907 – colleen@letslink.co.za

 Reference form
LetsLink (Pty) Ltd
Medical Recruitment Division
Would you rehire this candidate?

Is there anything I haven't asked that you would like

to share with me?

Do you have a personal relationship with the

candidate outside of work? Family or friend?

Reference taken by: (Name) Natalie van der Westhuizen

Telephone Number: 074 253 6332

Date:

Signed:

2|Page LetsLink (Pty) Ltd – +27(0)11 0261907 – colleen@letslink.co.za