Clerical Reference Form Please enable JavaScript in your browser to complete this form.Your Name *FirstLastYour Title *Your Phone *Your Email *EmailConfirm EmailCompany *Candidate's Name *FirstLastCandidate's Position Held *Employment Start *Employment End *Reason for leaving: *Eligible for Re-Hire? *YesNoAttendance *ExcellentVery GoodAverageBelow AveragePunctuality *ExcellentVery GoodAverageBelow AverageQuality of Work *ExcellentVery GoodAverageBelow AverageProductiveness *ExcellentVery GoodAverageBelow AverageJob Knowledge *ExcellentVery GoodAverageBelow AverageAccuracy *ExcellentVery GoodAverageBelow AverageAdaptability *ExcellentVery GoodAverageBelow AverageInitiative *ExcellentVery GoodAverageBelow AverageDependability *ExcellentVery GoodAverageBelow AverageAttitude *ExcellentVery GoodAverageBelow AverageCommentsSubmit