Referee Form

Thank you for taking the time to complete this reference.

---

Please provide the full name of the applicant you are completing the reference for

Your Contact Details

Full Name Email Address Mobile Number

---

Please can you provide brief description of their role & responsibilities Did they report directly to you? YesNo How long did you work together? What would you say are their key strengths? What would you say were some of their key achievements in the role? How would you describe their time management skills? How would you describe their verbal and written communication skills? How did they respond to pressure around increased workload and tight deadlines?

---

Ratings

On a scale of 1 to 5 (5 being the highest), please rate the applicant's ability to:

Work as part of a team 12345 Work independently 12345 Conduct themselves within the workplace 12345 Their efficiency? (e.g ability to work to deadlines, multi-tasking) 12345 Work attitude 12345

---

Was the applicant's general attendance record and punctuality at work satisfactory? YesNo If selected NO, please provide details (if applicable) Can you think of any areas where they need to improve? Have you ever had reason to question their honesty or integrity? What was the reason they left your organisation? If the circumstances were right, would you re-employ them? If not, why?

---

Child Protection Declaration

To the best of your knowledge is there any concern or reservation that by employing this applicant a potential risk may be posed to children or young people?

YesNo If YES, please provide details

Are you aware if the applicant has ever been subject to a Child Protection investigation involving an allegation of 'reportable conduct' (sexual offence / misconduct, physical assault, ill-treatment, neglect or psychological harm of a child)?

YesNo If YES, please provide details

---