ReferenceRequest

Reference Request Form

You have received this link & form because someone has submitted your details as a Referee.

Please fill out form below & submit. Thank you.

Full Name Of Applicant You Are Completing This Reference*

Your Full Name (Referee)*

Referee Company / Organisation Name*

Referee Company / Organisation Address*

Referee Telephone Number*

Relationship To Applicant*

How Long Have You Known The Applicant *

In What Capacity Do You Know The Applicant? (Friend / Employer)*

Date Employment Commenced?*

Date Employment Ceased?*

Position Applicant Held?*

Roles & Responsibilities*

Reason For Leaving & Final Salary*

Was The Applicants Timekeeping of a good standard? (Please Select)*

Was The Applicants Timekeeping Of A Good Standard (Please Select)*

How Many Days Sickness Did The Candidate Have In The Last Two Years Whilst In Your Employment?*

How Well Does The Applicant Meet The Criteria For An Early Years Setting?*

Would You Consider The Applicant Able To Maintain Confidentiality? (Please Select)*

If No Please Provide More Details Why

Has The Applicant Ever Been Subject To A Formal Disciplinary Procedure During Their Time With You?*

YesNo

If Yes Please Explain Reasons Why

Is There Anything You Should Tell Us About The Applicants Suitability To Work With Children?*

YesNo

If You Have Answered Yes Please Provide More Details

Would You Re-Employ The Applicant*

YesNo

If No Please Provide More Details

I Confirm That To My Knowledge All The Information I Have Supplied Is Correct*

YesNo

Date*

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