Period (s) of employment? From……………To……………..
Position upon leaving?
Reason for leaving?
Is he/she eligible for re-hire? Yes…… No……
Was he/she attitude?
Did he/she have any moral problems (drinking, gambling, financial)? Yes...…No…..
Did he/she have a habit to being tardy? Yes……No……
Was he/she trustworthy? Yes…..No…..
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