REFERENCE REQUEST FOR APPLICANTS TO THE PUBLIC HEALTH ... - IHS 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the applicant’s name in the designated field. If applicable, include any other names the applicant may have used.
3. Fill out the 'Period of Association' section by indicating the start and end dates of your relationship with the applicant.
4. Select your professional relationship to the applicant by checking the appropriate boxes provided.
5. Evaluate the applicant across various elements such as productivity and communication skills, using the rating scale provided.
6. Provide details on any limitations that might affect the applicant's effectiveness in section 5.
7. Indicate whether you would be willing to employ or re-employ this individual if an opportunity arises, and provide reasons if necessary.
8. Complete any additional comments in section 7 and ensure all required fields are filled out before signing at section 8.

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