Garvald West Linton – Reference Request

Thank you for agreeing to provide a reference. Your response will be treated in confidence and used solely to assess the suitability of the applicant as part of our safer recruitment process.

Reference Request Form

Applicant Details

Applicant Name:

Role Applied For:

Referee Details

Your Name:

Relationship to Applicant:

Organisation (if applicable):

Reference Checks

How long have you known the applicant?

Based on your knowledge of the applicant, please comment on the following.

Reliability and conduct:

No concerns

Minor concerns

Significant concerns

Ability to work appropriately with others:

No concerns

Some concerns

Significant concerns

Suitability for the role applied for:

Suitable

Suitable with reservations

Not suitable

Employment details (if applicable):

Employment dates:

Reason for leaving (if known):

Safeguarding

Are you aware of any reason why this individual should not work with vulnerable adults?

No

Yes

Additional Information

Declaration:

I confirm that the information provided is accurate to the best of my knowledge.

Date / Time