Reference

Candidate Name(Required)

First Last

How do you know the candidate?(Required)

When did the candidate start working at your organisation?(Required)

When did the candidate stop working at your organisation?(Required)

Please describe your relationship(Required)

What was the reason for the candidate leaving?(Required)

Would you consider hiring the candidate if they re-applied to a position in your organisation?(Required)

Yes

Please provide a reason.(Required)

Does the candidate have a good record of attendance?(Required)

Yes

Can you provide additional comments?

Does the candidate have a good record of punctuality?(Required)

Yes

Can you provide additional comments?

Are you aware of any issues with the candidate in relation to safeguarding and child protection?(Required)

Yes

Please provide additional comments.(Required)

Do you consider any other reason why the candidate would not be suitable working with children(Required)

Referee(Required)

First Last

Referee's Company/ Organisation(Required)

Referee's Job Title(Required)

Referee's Contact Number(Required)

Referee's Email(Required)

Do you consent to us sharing this information with potential employers and/or the candidate at their request(Required)

Yes

Declaration(Required)

I have completed this form accurately and factually. I did not include any allegations that are unsubstantiated, false or malicious.

Reference Guidance