BAYLOR COLLEGE OF MEDICINE CHILDREN’S FOUNDATION

EMPLOYMENT BACKGROUND CHECK FORM

Baylor College of Medicine Children’s Foundation-Uganda (Baylor - Uganda) is an indigenous not-for-profit child health and
development organization affiliated to the Baylor International Paediatric AIDS Initiative (BIPAI), a network of pediatric HIV/AIDS
care and treatment organizations in 11 countries across Africa, Eastern Europe and North America.

Vision
A world where children and their families live a healthy and fulfilled life.

Mission
TO provide high quality family-centered health care, education and research worldwide.

Reference Check

Applicant: AKIA ALLEN

Position applied for: FINANCE AND ADMINISTRATIVE ASSISTANT

Referee’s details:
______________________________________________________________________
Reference check conducted by:Rose Nampanga – HR Officer Talent Acquisition

General Questions
Supervisor
What is the nature of your relationship with the
applicant?
She is currently the Project assistant under the ICYD Project based in
In what capacity is/was the applicant employed by
Wakiso
your business?

What were the dates of their employment?
What duties and responsibilities does/did the
applicant have?
What was his/her salary and Benefits
What was the applicant’s reason for leaving?
From: 1st Marc 2020 To: current
: Custodian of Petty Cash, Custodian of the asset register and updating it
when the need arises, Initiates requests on behalf of the user to the
Procurement department. Assists in the formulation of budgets and
supports in getting the necessary approvals. Works with the Grants team
to ensure that their no overruns. Supervises the Transport assistant
(drivers and office assistants to ensure that they are carrying out their
duties. Supports in Mobile money payments to the various stakeholders
Gross of UGX 2,800,000. As a full time staff, Allen and her family are
entitled to Medical insurance; She’s also entitled to Gratuity.
Job growth and career advancement.

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 NO
Has the candidate been involved in any disciplinary
matter? If yes, please provide the details

General Performance Questions

Allen is a highly dedicated colleague, whose standard of work is

How would you describe the applicant’s overall
excellent, she’s very competent and has demonstrated to meet deadlines.
work performance?
She has excellent working relationship with other staff with excellent
communication skills
She has excellent communication skills and has the ability to work under
What would you say are the applicant’s strengths?
pressure with minimal supervision

Allen doesn’t want to delegate work ,even when the need arises. I have
What would you say are the applicant’s
always told her that asking for help is a sign of weaknesses.
development areas (eg. weaknesses)?
I have not heard of any concerns regarding her performance
Have you had any concerns with their
performance?
If yes, please explain when these issues were
identified? When were they discussed with the
individual? What work are their doing to improve
and what progress has been made?

Can you comment on the applicant’s:

- Reliability Allen is willing to filling for a colleague under any circumstance
- Punctuality Allen is always punctual and we endeavor to call or text if she’s running
- Attendance late
I have no issue with her attendance and wil always notify me, if she can’t
- Professionalism
be able to come to work for whatever reason.
- Credibility Under Professionalism She always takes responsibility for her actions
and doesn’t use the blame game.
Under credibility, she exhibits traits of being objective instead of
subjective.

In closing
Do you have any suspicions that the candidate NO
violated your organization’s Code of Conduct,
including sexual exploitation and abuse and sexual
harassment in the workplace?

Would you re-employ the applicant? Why/why not?

I would re-employ Allen, based on dedication and the standards that she
has set in IDI

Assuming that she’s employed in your organization, I can guarantee you

Do you have any final comments?
that you will be getting an asset who is willing to work tirelessly for the
company’s course
Thank you for taking the time to provide feedback.
If you wish to provide any further information,
pleasecontact Baylor Uganda.

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 1. Names of respondent: Francis 2.Position in organization:
Bigala Project Administrator

3. Signature: F .Bigala 4. Date: 11/16/2022

Version 2: July 2018