Reference request form DMNS | dulwichmontessori.co.uk

Reference request form DMNS

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More
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ACCEPTING CHILDREN FROM AGE 12 MONTHS TO 5 YEARS

Professional Reference request Form

Name of candidate you are providing reference for *

Full name of the referee *

Referee email address *

Referee's Company / Organisation *

What is/was your relationship to the applicant? *

How long have you known the applicant? *

In what capacity do you know the candidate? (Friend or Employer) *

Date Employment Commenced *

Date Employment Ceased *

Position held with the company *

Reason for leaving *

Was the candidates timekeeping of a good standard? *

Yes

No

Was the candidates attendance of a good standard? *

Yes

No

How many days sickness did the candidate have in the last 2 years, whilst in your employment? *

Would you consider the applicant able to maintain confidentiality? *

Has the applicant ever been subject to a formal disciplinary procedure during their time with you? *

Yes

No

If yes - please provide reasons why

HM Government guidelines "Working Together to Safeguard Children" illustrate the need for individuals and organisations to work together in safeguarding children. Safeguarding children is everyone’s responsibility. Is there anything you should tell us about the applicant’s suitability to work with children? *

Yes

No

If you have answered yes to the question above, please provide more details here

To your knowledge or experience, is there any reason why this applicant should not work in an Early Years setting? *

Yes

No

If you have answered yes to the question above, please provide more details here

Would you re-employ the applicant? *

Yes

No (please provide more details in the box below)

If you have answered no to the question above, please provide more details here

Do you give permission for these details to be disclosed to the applicant? *

Yes

No

Confirmation *

I confirm that to my knowledge all the information supplied is correct

Date *

Please type your full name as a signature *

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