Reference Request Reference Request Form Your Name Employee Name Section 1: Employment Reference Employed as: 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? YesNo Did this person competently and adequately perform the duties of the role? YesNo If not, please identify any areas of weakness: Would you re-employ this person? YesNo If not, please state the reason: Are there any current warnings on this person’s record? YesNo If yes, please give details: Having considered the job description, do you think this applicant is suitable for employment with us? YesNo If not, please give details: Do you consider this person to be honest, trustworthy and of the highest integrity? YesNo If not, please state the reasons why: Section 2: School/College/University Reference If the person was a student at your educational establishment: Study dates: Course Title: Qualifications attained: Did this person have good timekeeping at school/college/university? YesNo If not, please give details: Having considered the job description, do you think this applicant is suitable for employment with us? YesNo If not, please give details: Do you know of any reason why we should not employ this person? Do you consider this person to be honest, trustworthy and of the highest integrity? YesNo If not, please state the reasons why: Declaration: I confirm by hitting send that I am authorised to provide the information included in this form. By giving us your email address you confirm you are happy for us to notify you of offers and services by email. We won’t bombard you – tell us at any time if you want to unsubscribe. Don’t worry – we respect your data. We keep it securely and responsibly and we only release it in accordance with the law; otherwise we don’t pass on. See privacy policy for more.
