ReferenceDo you need to send a reference to us?As your referee to complete this form via this link here. Locum Reference Form Name Of Candidate Organisation Name and Position Held When did they do locum or permanent work? Start Date End Date Candidate RatingsRatingsExcellentVery GoodGoodSatisfactoryUnsatisfactoryDiligence at work Reliability / Time-keeping Attendance Trustworthiness / Honesty Ability to work on own Ability to work in a team Work Performance Interpersonal Skills Enthusiasm Communication Skills Managerial Skills (where appropriate) Additional Information Reason for leaving Would you re-employ this person as a staff member YES NOReferee details Your Full Name Organisation Work Email Job title Contact Telephone Number I accept the terms of your Privacy Policy