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REFERENCE FORM
REFEREE DETAILS
Name
Title
Name of Company, School, Employer or place of work
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
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