Employee Reference Request
Candidates Name
*
First Name
Last Name
Date employed from
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Date employed to
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Position held by candidate
Your Name
*
First Name
Last Name
Your Position
Relationship with candidate
What type of employment was held by the candidate?
*
Please Select
Full Time
Part Time
Zero Hour Contract
Employment Details
Candidate's Job Title
*
Name of establishment employed at
*
Reason for leaving
Would you re-employ the candidate?
*
Yes
No
Please use the table to rate the candidate against the following qualities:
Rows
Poor
Satisfactory
Good
Excellent
Honesty
Professionalism
Punctuality
Communication
Relationships with colleagues
Suitability to work with children
Please rate the candidate against the following...
Honesty:
Excellent
Good
Satisfactory
Poor
Professionalism:
Excellent
Good
Satisfactory
Poor
Punctuality:
Excellent
Good
Satisfactory
Poor
Communication:
Excellent
Good
Satisfactory
Poor
Relationships with colleagues:
Excellent
Good
Satisfactory
Poor
Suitability to work in education:
Excellent
Good
Satisfactory
Poor
Supporting Comments/Further Information:
Was the applicant undergoing any stage of disciplinary proceedings or subject to any investigation when they left your employment? If yes, please provide details below:
*
Does the applicant have any history of disciplinary action that relates to the safety of children? If yes, please provide details below:
*
Do you know of any reason why the applicant should not be engaged to work with children? If yes, please provide details:
*
I declare that to the best of my knowledge the information I have given in this reference is correct and complete
*
I Agree
Email
*
example@example.com
Signature
*
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Send Form
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