Form

The candidate has expressed an interest in working with our organisation and has given your name as a referee. The post involves substantial access to and responsibility for children.

As an organisation committed to the welfare and protection of children, we wish to know if there is any reason at all to be concerned about this applicant’s suitability for this type of role.

If you are happy to complete this reference, any information will be treated confidentially and in accordance with relevant legislation and guidance. Information will only be shared with the person conducting the assessment of the candidate's suitability for the post, if he/she is offered the position in question. We would appreciate you being open and honest in your evaluation of this person.
Candidate Details:
Name of Candidate:
How long have you known the candidate?
In what capacity do you know the candidate? (e.g. professional, educational, personal)
If you knew them in an employment capacity what were their main duties?
Performance Evaluation:
How would you rate the candidate's Maturity?
How would you rate the candidate's self motivation?
How would you rate the candidate's ability to motivate others?
How would you rate the candidates energy and enthusiasm?
How would you rate the candidate's honesty/trustworthiness?
How would you rate the candidate's ability to work with colleagues?
How would you rate the candidates reliability:
How would you rate the candidates ability to control their emotions:
Previous Employment:
Does the candidate have any disciplinary actions on their file? If yes please supply full details and outcome
What is the reason for leaving employment with you?
Would you re-employ the candidate? If no, please state reasons why:
Safeguarding Information:
This post involves substantial access to children. Do you have any concerns about the applicants' suitability for this type of role or know of any reasons why they are NOT suitable to work with children?
Should they request it, do you agree to this reference being shared with the candidate?

Yes No
Your Contact Information:
Referee First Name:
Referee Last Name:
Company:
Position:
Telephone:
Email:
Should be Empty:

Candidate Details:

Performance Evaluation:

Previous Employment:

Safeguarding Information:

Your Contact Information: