Mining Alliance Candidate Reference Report

Candidate & Position Details

Candidate Full Name: Job Title: Start Date: End Date:

Your Full Name: Position Title: Your Organisation: Your Email: Your Phone:

1. Are the candidate’s employment details (job title: [Job Title], employment dates: [Start] to [End]) correct?
Yes No Partially

2. What tasks and duties did [Candidate Name] perform?

3. What were [Candidate Name]’s strengths?

4. What were [Candidate Name]’s areas for improvement?

5. How did [Candidate Name] interact with others?

6. Rate [Candidate Name] (1 = Poor, 5 = Excellent):

7. If any scores below 4, please explain:

8. Would you rehire [Candidate Name]? Yes No Unsure

9. Why did they leave?

10. Any other comments?

11. May we contact you? Yes No

Electronic Signature: Date & Time of Signature: