Name of Applicant*Position Applied For*How do you know the applicant?*How long have you known the applicant?*Are you prepared to provide a reference for this applicant?* Yes NoPlease provide further information as to why you're unable to provide a reference.*Have you previously employed the applicant or been their supervisor?* Yes NoYour Name*Your Email Your PhoneEmployer/Company name*Your Position*In what capacity was the applicant employed by you?*Date employed from*Date employed to*What was their reason for leaving?*How do you know the applicant?*How many un-authorised absences has the applicant had within the last 2 years?Would you re-employ the applicant?* Yes NoPlease provide further information as to why you would not re-employ the applicant.*How long have you known the applicant?*Please rate the applicant on the following qualities, where 5 stars is Excellent, and 1 star is Terrible.Quality of work performedAttendance/PunctualityReliability/TrustworthinessAbility to work within a teamAbility to work under pressureAbility to work without supervisionCommunication skillsProfessionalismGeneral Appearance, i.e. dress code adhered toPlease comment on the applicant’s character in terms of personality and particular strengths and weaknesses, i.e. initiative, drive, judgment and organisational ability.*Please comment on the applicant’s suitability to work with vulnerable adults:*Please comment on any disciplinary action taken against the applicant.Would you care to make any other comments concerning the applicant?Would you care to make any other comments concerning the applicant?Confirmation I believe myself to be suitable for providing a reference for this applicant, and I have answered all questions as honestly as possible.
