Reference URGENT: Reference Request Referee NameReferee PositionName of OrganisationOrganisation Contact NumberPlease tick if this is aEmployment referenceCharacter referenceApplicants NameApplicant’s positionDate of employmentFrom Date Format: DD slash MM slash YYYY To Date Format: DD slash MM slash YYYY In what capacity is the applicant known to you?Please give details of responsibilities held and the client group’s applicant has worked with:Has the candidate ever been disciplined to your knowledge?YesNoPlease provide detailsIs the applicant able to deal with situations appropriately with regards to confidentiality?Please rate the applicant on: Verbal communicationExcellentGoodSatisfactoryUnsatisfactoryWritten communicationExcellentGoodSatisfactoryUnsatisfactoryGeneral attitudeExcellentGoodSatisfactoryUnsatisfactoryHonestyExcellentGoodSatisfactoryUnsatisfactoryReliabilityExcellentGoodSatisfactoryUnsatisfactoryTime keepingExcellentGoodSatisfactoryUnsatisfactoryTeam SkillsExcellentGoodSatisfactoryUnsatisfactoryLeadership skillsExcellentGoodSatisfactoryUnsatisfactoryAbility to work unsupervisedExcellentGoodSatisfactoryUnsatisfactoryRelationship with clients/service usersExcellentGoodSatisfactoryUnsatisfactoryRelationship with other staffExcellentGoodSatisfactoryUnsatisfactoryWould you re-employ this personYesNoIf NO please give reasons why:Please provide any other information that you feel would be of benefit to us?Thank you for taking the time to complete this reference request form, your feedback and comments are most appreciated.NamePositionSignatureDate Date Format: DD slash MM slash YYYY
