PRIVATE & CONFIDENTIAL EMPLOYMENT REFERENCE APPLICATION

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Home
Babies
Toddlers
Pre school
Outdoor Area
Nutrition
Gallery
Contact Us

Contact us

0207 241 2411

Home
Babies
Toddlers
Pre school
Outdoor Area
Nutrition
Gallery
Contact Us

PRIVATE & CONFIDENTIAL EMPLOYMENT REFERENCE REQUEST

Candidate Name *

Duration of employment/Studies?

From

To

Position Held

Reason for ending employment/ studies

Additional comments

If you answer YES to any of these questions, please provide further details in the Comments box below

Has this candidate ever been the subject of an investigation or disciplinary procedure? *YesNo

Are there any allegations/investigations pending against this candidate? *YesNo

Specify

Have any allegations/concerns been made about the candidate in relation to their behaviour towards the safety or welfare of children? *YesNo

Are there any reasons why this candidate may not be suitable for a post in a children's nursery where he/she may come into contact with children? *YesNo

Specify

If you answer NO to this question, please provide further details in the Additional Comments box below

Would you recommend this candidate for employment? *YesNo

Specify

Please rate the candidate in the following areas

Honesty/IntegrityPoorBelow AverageAverageAbove AverageExcellent

TrustworthinessPoorBelow AverageAverageAbove AverageExcellent

TimekeepingPoorBelow AverageAverageAbove AverageExcellent

Attendance RecordPoorBelow AverageAverageAbove AverageExcellent

Work EthicPoorBelow AverageAverageAbove AverageExcellent

Conduct/BehaviourPoorBelow AverageAverageAbove AverageExcellent

Job CompetencePoorBelow AverageAverageAbove AverageExcellent

Attitude with ColleaguesPoorBelow AverageAverageAbove AverageExcellent

Appearance/GroomingPoorBelow AverageAverageAbove AverageExcellent

Overall Assessment

Your RatingOut of 45

Any other Comments

Do you give permission for the reference to be disclosed to a third party?YesNo

Company Name

Your Name

Your Position/Title

Date

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