Reference Request

Dear Sir/Madam,

has recently applied for a position as a . They have supplied your name as a person who would be prepared to supply us with a reference. As such, it would be appreciated if you could complete the form below at your earliest convenience. Alternatively, you are welcome to upload a document containing this information.

Should you require any further assistance then please do not hesitate to contact our compliance team on 01829 732615 selecting option 4

Upload a reference

... OR ...

fill in the form below

Please note all fields are required

About you

Forename

Surname

Email

Phone

Company

Job Title

Relationship

Candidate Background

In what capacity do you know the candidate?

How long have you known the candidate?

Name of Organisation

Reason for leaving (if applicable)

Please give a brief description of the candidate’s main duties and responsibilities

Candidate Suitability

Please give your opinion on the candidates suitability for the post by choosing the appropriate option:

Punctuality

Excellent

Good

Average

Poor

Honesty

Excellent

Good

Average

Poor

Relationship with others

Excellent

Good

Average

Poor

Reliability

Excellent

Good

Average

Poor

Ability to organise and prioritise Work

Excellent

Good

Average

Poor

Communication – Written

Excellent

Good

Average

Poor

Communication – Verbal

Excellent

Good

Average

Poor

Sickness record (over the last 2 years)

Number of days absent

Number of occasions

Convictions

Please note that applicants are exempt from the provisions of the Rehabilitation of Offenders Act. Please complete the following:

Are you aware of any convictions recorded against the candidate?

Further Information

Please describe the main features of the candidate’s character with reference to strengths and/or weaknesses, referring to their qualities, such as initiative, ability to make decisions, interpersonal skills, etc.

Would you re-employ the candidate in their current/most recent position?

Yes

No

Has this candidate been the subject of a disciplinary hearing, either resolved or unresolved whilst employed by you?

Yes

No

Did the candidate leave voluntarily?

Yes

No

submit