Professional Reference Request

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Consultant Email

Professional Reference Request for

First Last

The above has applied to us for a position and has given your name as a referee. We would be grateful if you would answer the questions below. Please complete all the required fields marked with asterisk (*)

Your Company Details

Referee Name*

First Last

Referee Contact Number

Company Name*

Candidate Details

Position Held*

Candidate ID

Employed From*

Employed To

Evaluation

Reason for leaving*

Attendance / Health Record

Honesty

Quality of Work

Attitude

Relationship with Colleagues

Flexibility

Timekeeping

Appearance

Interaction

When the applicant interacted with colleagues, supervisors, clients, customers, children, young people, vulnerable adults and members of the public were you...

In your experience does the applicant have the ability to maintain confidentiality?

If 'No', please provide details in notes section at the end of this form

Yes
No

Is there any reason to your knowledge why this applicant should NOT work with vulnerable adults & children?

If 'Yes', please provide details in notes section at the end of this form

Yes
No

Has the applicant been subject to any disciplinary (including any spent) regarding the safety and welfare of children, young people or vulnerable adults?

If 'Yes', please provide details in notes section at the end of this form

Yes
No

Has the applicant been subject to any allegations or concerns that relate to the safety and welfare or behaviours towards children, young people or vulnerable adults?

If 'Yes', please provide details in notes section at the end of this form

Yes
No

The post for which the applicant has applied involves working with children, young people or vulnerable adults and is therefore exempt from the Rehabilitation of Offenders Act 1974. To your knowledge, does the applicant have a criminal record?

Yes
No

Would you re-employ this candidate?*

Yes
No

Do you know of any reason why the applicant should not work in the catering/care sector?

Yes
No

Reason

If 'yes' to the above, please state why

Notes / Any Other Comments

In giving this reference you consent to Jubilee Talent disclosing this information to relevant third parties such as prospective or potential hirers

Please untick this box if you do not consent to the disclosure.
I confirm that I am the addressee and authorised to complete this reference.

Phone

This field is for validation purposes and should be left unchanged.