Request For Reference Letter Page 2
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PAID WORK HISTORY:
Business Name &
Supervisor Name & Number
Dates of Employment
Position/Duties
Location
(Ex: Mgr., 604-570-0000)
(Ex:June 2013 to Sept 2015)
(Ex: Bus person)
(Ex: Pizza Hut, King George)
COMMUNITY INVOLVEMENT: (Volunteer Work, Coaching, Leadership, Events, etc.)
Activity
Contact & Phone No.
Role
Dates
No. of Hours
(Ex: Food Bank)
(Ex: Joe Smith, 604-570-0000)
(Ex: Food Sorter)
(Ex. June 2015 to
Contributed
Sept 2016)
(Ex:1hr per wk)
Circle words below that best describe you and other words as needed:
Responsible
Reliable
Excellent Communication Skills
Enthusiastic
Dedicated
Punctual
Academic
Caring
Risk Taker
Sincere
Hard Working
Motivated
Cheerful
Sociable
Other:
Takes Initiative
Team Player
_____________________________
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Parent category: Letters