Reference

APPLICANT REFERENCE FORM

We would appreciate if you would comment on the applicant's suitability, in your opinion, for this post and reply at your earliest convenience.

In order to protect the public, the post for which the application is being made is exempt from section 4(2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation Offenders Act (Exemptions) Order 1975. It is not therefore in any way contrary to the Act to reveal any information you may have concerning convictions, which would otherwise be considered as ‘spent’ in relation to this applicant's suitability for employment.

Any such information will be kept in the strictest of confidence and used only in consideration of the suitability of the applicant for a position where such an exemption is appropriate.

We would like to take this opportunity to thank you in advance for completing our reference request.

Many thanks

Reference NoPlease don't change, Leave Empty If Blank

Email Address *

Name of the APPLICANT whom you wish to give reference to? *

Your Name *

Your Job Title *

Organization Name *

Contact Number *

In what capacity do you know the applicant? *

If "other" is selected, please give details below Your answer

How long have you known the applicant? *

Please confirm the dates the applicant worked for your organisation or you know the applicant

From *

To *

What was the reason for leaving (if applicable) *

Please give a brief description of the applicant's main duties and responsibilities below: *

Punctuality *

Relationship with Colleagues *

Reliability *

Relationship with those the applicant is responsible for *

Ability to organise and prioritise work *

Communication- written *

Communication- verbal *

IT skills *

Attendance level *

Are there any valid disciplinary/warnings on the applicant's file? *

If YES, please give details below. Your answer *

Are you aware of any convictions/cautions recorded against the applicant? *

If YES, please give details *

To the best of your knowledge, do you recommend this candidate to work with vulnerable adults/children? *

If NO, please give details *

Should the candidate make a subject access request in relation to this reference, do you give your consent for this to be released? *

If NO, please give details *

Your Name *By typing your name below, I confirm that this information is true to the best of my knowledge.

Date of the reference *

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