Example of Proforma

Name of Student:

Name of Referee:

Job title of Referee:


The student named above has given your name as a referee. Our Legal Department insists that we obtain a reference for all new employees before confirming offers. It will be appreciated if you can provide the following information:

Date attended:

Date left:

Course of study:

Qualification attained:

How long have you known him/her?

Was the student's conduct and work performance satisfactory? Please comment.

Are there in your opinion any reasons why we should not employ him/her?

Is there anything else you wish to add?

Please return this form to ...