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Reference Request

This document is a reference request form for Chelsea Marie Atherton, who has applied for the position of Night Care Assistant. It includes sections for the referee to provide information about their relationship with the applicant, attendance records, performance evaluations, and whether they would re-employ the applicant. The form also allows for additional comments and requires the referee's name, designation, date, and signature.

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6 views3 pages

Reference Request

This document is a reference request form for Chelsea Marie Atherton, who has applied for the position of Night Care Assistant. It includes sections for the referee to provide information about their relationship with the applicant, attendance records, performance evaluations, and whether they would re-employ the applicant. The form also allows for additional comments and requires the referee's name, designation, date, and signature.

Uploaded by

hrwt2j7rz9
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Reference request form

Reference request for: Chelsea Marie Atherton

Post applied for: Night Care Assistant

Date: 27 March 2024

In what capacity do you know the applicant?


____________________________________________

How long did/have you known the applicant?


__________________________________________

What was their position?


___________________________________________

What was their start date? ___________________________________________

What was their finish date?


____________________________________________

How many sick days?


____________________________________________

How many absent days?


____________________________________________

Have they been subject to a disciplinary? Yes/No

If yes, please give dates and details:


__________________________________________________

1
Team player? Yes/No

Able to work unsupervised? Yes/No

Excellent Very good Good Poor

Time - keeping

Standard of work

Honest/Trustworthy

Attitude

Would you re employ this person: Yes/No

If no, please give reasons

Is there anything else you feel I need to be aware of that has not been covered in this form?

2
Name of person completing form: _____________________________________

Designation: _____________________________________

Date: _____________________________________

Signature: _____________________________________

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