Midwest Twisters & WCGC Employee Reference
Applicants Name
Name of Company
Your name & position at the company?
Where your the applicants supervisor?
Clear selection
Dates employed
Job title
Rate of Pay $
Reason for leaving?
Eligible to be rehired:
Clear selection
Would YOU hire them back:
Clear selection
Clear selection
Work Performance:
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Anything else you can tell me about this person?
Can we contact you with Questions?
Clear selection
If Yes, what is the best number to reach you?
Date Completed
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