Candidate First NameCandidate Last NameConsentBefore we proceed, I need to make you aware of changes that were made to the Privacy Act (2000). A candidate may request access to personal information collected by the company. The information collected throughout this process may be disclosed and may be shared with the ALTON business and any agencies used to assist in the recruitment process or any other organisations that may have a vested interest in the recruitment process, or security organisations as required.Are you still happy to proceed with the reference check?*YesNoContact DetailsCompanyReferee NameContact NumberWere you Applicant's direct Supervisor ?*YesNoDates of employmentDuitesApplicant has indicated they had the following absences in the last 6 months of employmentApplicant has indicated that the reason they have left your organisation wasPerformance SkillsAttitude*ExcellentGoodFairPoorN/AInitiative*ExcellentGoodFairPoorN/AFlexibility*ExcellentGoodFairPoorN/AUnsupervised*ExcellentGoodFairPoorN/AAttendance*ExcellentGoodFairPoorN/AReliability*ExcellentGoodFairPoorN/AInteraction*ExcellentGoodFairPoorN/AEmployment DetailsAny work related injuries?*YesNoIf yes, detailsReason for leaving?*Would you re-employ?*YesNoIf no, whyAdditional CommentsMarketing InformationDo you use recruitment agencies?*YesNoIf yes, who is responsible for this?Would it be possible to make an appointment for one of our Account Managers to visit your organisation to discuss potential Recruitment solutions?*YesNo
