Dear Client

Thank you for using Great Placements. Please be kind enough to complete this confidential online reference form on the personnel who worked for you. This enables us to monitor their progress and ultimately to compile a fair and accurate assessment of their overall work performance.

Name of Company:
Name of Person:
Job Description:
Punctuality:	Fair	Good	Excellent
Appearance:	Fair	Good	Excellent
Attitude:	Fair	Good	Excellent
Hard Worker:	Fair	Good	Excellent
Honesty:	Fair	Good	Excellent
Reliability:	Fair	Good	Excellent
Efficiency:	Fair	Good	Excellent
Initiative:	Fair	Good	Excellent
Additional Comments:
Name of Referee:
Date: