Employment Reference Verification Form



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How did he/she get along with other people 9 Please rate the following on a scale of 1-to-10: (1=very poor, 10 = exceptional) Score Comment a) attendance 1 2 3 4 5 6 7 8 9 10 b) dependability 1 2 3 4 5 6 7 8 9 10 c) ability to take on responsibility 1 2 3 4 5 6 7 8 9 10 d) conflict resolution 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 e) potential for advancement f) degree of supervision needed g) overall attitude 10..

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