Employment Reference Request

This field is for validation purposes and should be left unchanged.

Please note that by completing this reference form you are giving consent for this information to be held on the employee’s personnel file, which is available to them once employed, in accordance with the Data Protection Act and GDPR requirements.

Applicant Details

Job Details

(if current/previous employer)
MM slash DD slash YYYY
MM slash DD slash YYYY
Was this paid employment?
Was this a voluntary role?

What is your assessment of the following elements in relation to the candidate?

OPTIONAL
Attendance & Reliability (Inc. timekeeping)
Quality & Accuracy of Work
Work relationships (Teamwork/Interpersonal/ Communication Skills)
Dedication to the job
Did the candidate have any disciplinary warnings during his/ her last 12 months’ employment?
During their employment - were there any safeguarding concerns raised?
Would you re-employ this candidate?

Your details

MM slash DD slash YYYY

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