Section 1: Employment Reference
Dates of Employment: From: To:
Reason For Leaving:RedundancyResignationDismissal
Did this person work well as a team member and did they earn the respect of superiors and/or subordinates?
Did this person competently and adequately perform the duties of the role?
If not, please identify any areas of weakness:
Would you re-employ this person?
If not, please state the reason:
Are there any current warnings on this person’s record?
If yes, please give details:
Having considered the job description, do you think this applicant is suitable for employment with us?
If not, please give details:
Do you consider this person to be honest, trustworthy and of the highest integrity?
If not, please state the reasons why:
Section 2: School/College/University reference
If the person was a student at your educational establishment:
Did this person have good timekeeping whilst at school/college/University?
Do you know of any reason why we should not employ this person?
Declaration: I confirm by hitting send that I am authorised to provide the information included on this form.
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