Reference Request Form

Reference request form

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Please complete this form as soon as possible

We have received an application for a role at Northfields Infants and Nursery School from a candidate that has provided your details to act as a referee.

Requesting reference for

First

Last

Position applied for

In what capacity did you employ the applicant?

Start date of employment

End date of employment (use today's date if the applicant is still employed)

Please tell us about the candidate’s strengths, qualities and achievements in their current role

What are their areas for development?

To what extent is the candidate flexible and ready to take on new challenges?

Is the candidate reliable and honest?

Please tell us about the candidate’s interpersonal skills and their relationships with pupils, colleagues, parents and, where appropriate, governors and external agencies.

Are you able to recommend this candidate for this role at our school without any reservations?

Do you know of any reason that this candidate may not be suitable to work with or around children?

Has the applicant been subject to disciplinary procedures? Within the last 2 years, have they been subject to capability procedures?

Referee name

First

Last

Name of your organisation

Address of your organisation

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What position do you hold?

Your email

Confirm Email

Digital signature

I agree

The information contained in this document is strictly confidential. Please note that you have a legal liability for references and this reference should contain no material misstatement or omission. The content of this reference may be discussed with the candidate at interview. You may be contacted at a later date for clarification of any part of the reference.

Please complete this form as soon as possible

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