IMPERIAL COACHES REFERENCE REQUEST

Candidate Forename *

Candidate Surname *

Date of Birth *

National Insurance Number

Date Employed From *

Date Employed To *

Job Title *

Reason for Leaving *

Would you Re-Employ this Person? *

Your Company Name *

Your Name *

Your Position in Company *

Your Email *

Date *

Please answer the following questions,

	Excellent	Good	Average	Below Average	Poor
Attitude to work	ExcellentAttitude to work Excellent	GoodAttitude to work Good	AverageAttitude to work Average	Below AverageAttitude to work Below Average	PoorAttitude to work Poor
Punctuality	ExcellentPunctuality Excellent	GoodPunctuality Good	AveragePunctuality Average	Below AveragePunctuality Below Average	PoorPunctuality Poor
Attendance	ExcellentAttendance Excellent	GoodAttendance Good	AverageAttendance Average	Below AverageAttendance Below Average	PoorAttendance Poor
Customer Service	ExcellentCustomer Service Excellent	GoodCustomer Service Good	AverageCustomer Service Average	Below AverageCustomer Service Below Average	PoorCustomer Service Poor
Accident History	ExcellentAccident History Excellent	GoodAccident History Good	AverageAccident History Average	Below AverageAccident History Below Average	PoorAccident History Poor

Any other relevant information

Email