Client Name

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* 1. Client Name

Candidate Name

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* 2. Candidate Name

On a scale of 1-5, how would you rate the temp candidate?

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* 3. On a scale of 1-5, how would you rate the temp candidate?

Please list any additional dates the temp candidate has been rescheduled for:

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* 5. Please list any additional dates the temp candidate has been rescheduled for:

Any additional comments?

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* 6. Any additional comments?

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