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Reference form
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Password
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I confirm that I am an appropriate referee for the applicant* (required)
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Applicant Details
First Name
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Last Name
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Referee Details
First Name
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Last Name
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Referee Job Title
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Name of employing organisation / company
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Please provide the following information in respect of the applicant
In what capacity do you know the applicant?
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How long have you known the applicant in this capacity?
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Start Date
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End Date
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What was the applicants job title?
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Reason for leaving (if known)
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Please give your assessment of applicant's performance
Quality of Work
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Very Satisfied
Satisfied
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Ability to meet deadlines
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Very Satisfied
Satisfied
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Very Unsatisfied
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Relationship with colleagues
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Very Satisfied
Satisfied
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Unsatisfied
Very Unsatisfied
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Communication
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
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Timekeeping
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Very Satisfied
Satisfied
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Unsatisfied
Very Unsatisfied
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During the course of his/her employment did you have any reason to doubt the applicants honesty?
No
Yes
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If yes, please give details
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Subject to a suitable vacancy arising, and policy permitting, would you re-employ the applicant?
Yes
No
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Have there been any disciplinary/other formal employment proceedings against or by the applicant which are still considered ‘live’ (including any in process at present/at the time the employment ended
No
Yes
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Please give details
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Please comment on the applicant’s suitability for the post as outlined in the enclosed further particulars and provide any further information you feel would be relevant to this appointment
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Signature
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Today's Date
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