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REFERENCE FORM
REFEREE DETAILS
Title
Mr
Mrs
Miss
Ms
Name
Name of Company, School, Employer or place of work
Email
Candidate Details
Name
Position Held
Employed From
Employed To
Evaluation
Preparation / Planning
Select
Excellent
Good
Satisfactory
Poor
Unable to Comment
N/A
Professional Conduct
Select
Excellent
Good
Satisfactory
Poor
Unable to Comment
N/A
Appearance
Select
Excellent
Good
Satisfactory
Poor
Unable to Comment
N/A
Time Keeping
Select
Excellent
Good
Satisfactory
Poor
Unable to Comment
N/A
Relationship with staff
Select
Excellent
Good
Satisfactory
Poor
Unable to Comment
N/A
Knowledge (implementation of curriculum)
Select
Excellent
Good
Satisfactory
Poor
Unable to Comment
N/A
Was this person subject to any safeguarding investigations, disciplinary concerns, or do you know any reason why they should not work with vulnerable people?
Yes
No
Would you re-employ this candidate?
Yes
No
Reason for leaving
Additional Comments
I understand that the relevant factual content of this reference may be discussed, or provided to the candidate when required by Data Protection law
I Understand
By clicking submit, I confirm that I am the named referee and the above information is accurate
The information provided is accurate.
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