Reference Request - sarancare.com

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Reference Request Form

Thank you for taking the time to fill in this reference form for our staff member. Your input is greatly appreciated.

PROFILE

Applicant Name *

First

Last

Date of birth (Please use DD/MM/YYYY) *

EMPLOYMENT HISTORY

Layout

Job title *

Start date (Please use DD/MM/YYYY) *

Leaving date *

In what capacity do you know the applicant? *

If "Other", please describe the circumstances *

SKILLS

Referring to the job description, please describe the applicant’s ability to undertake their role

Please inform us of any disciplinary actions that might have been taken against the applicant:

Would you re-employ the applicant?

If NO, please indicate why *

To your knowledge, has the applicant ever been convicted of a criminal offence (subject to Rehabilitation of Offenders Act 1974 Provisions)? *

If YES, please give details: *

Please select all characteristics that you believe describe the applicant.

Leader
Team Player
Reserved
Outspoken
Judgmental
Arrogant
Gruff
Kind
Gentle
Nervous
Confident
Happy
Moody
Unhappy
Aggressive
Opinionated
Stubborn
Follower
Shy
Quiet
Considerate
Empathetic
Tactful
Cooperative

Do you have any other information regarding this application, which you believe, should be known to us as prospective employers?

DETAILS OF REFEREE:

Reference Name *

First

Last

Contact

Reference Email *

Position *

Date

Reference Phone *

Company Name *

Company Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Are you happy for us to contact you about the information you have provided? *

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Reference Request

02084665544
info@sarancare.com
171 Homesdale Road, Bromley, Kent, BR1 2QL,UK

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Reference Request Form

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