Reference

TRUTH RECRUITMENT REFERENCE FORM

Reference Details

*Name

*Job Title

*Contact Number

*Email

Company

In what capacity do you know the applicant

Applicant Details

First Name

Surname

Company Name

Job Title

Date Employed From:

Date Employed To:

Reason For Leaving

Would you re-employ this person?

Yes

No

If No, please provide details:

Section 2

Please answer the following questions

Has the applicant been subject to any disciplinary action?

Yes

No

If yes, please provide details

Are you aware of the applicants involvement in any safeguarding investigations?
(Previous or Current)

Yes

No

If yes, please provide details

Are you aware of any reasons why the applicant should not be employed to work with children or vulnerable people?

Yes

No

If yes, please provide details

To the best of your knowledge, has the applicant been convicted or cautioned of a criminal offence*?
*Due to the nature of care work, all spent convictions must be disclosed (Rehabilitation of offenders act 1974)

Yes

No

If yes, please provide details

Additional comments:

PLEASE CONFIRM: I can confirm that all the details are accurate at the time that this reference was completed. I understand that the applicant has the legal right to request a copy of their reference.

Full Name

Position

Signature

Date

We always ensure that our employees undergo our rigorous recruitment process prior to any work being offered to them. Therefore, your prompt response shall be appreciated.

Reference

TRUTH RECRUITMENT REFERENCE FORM

HOW WOULD YOU ASSESS THE FOLLOWING?

Please answer the following questions

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