Reference Form - Employer

Referee Information

First Name

Last Name

Telephone number

Email Address

Position held

Address

Applicant Information

First Name

Last Name

Post applied for

Applicant employed from

Position held

Salary (£)

Reason left

Reference Questions

Have you found the applicant honest?

Yes

Comments

Have you found the applicant courteous?

Yes

Comments

How do you regard the applicant's punctuality?

Comments

How do you regard the applicant's physical health record?

Comments

How do you regard the applicant's mental and emotional health?

Comments

How do you regard the applicant's relationship with senior staff?

Comments

How do you regard the applicant's relationship with other staff?

Comments

How would you describe the applicant's work performance generally?

Comments

Please estimate the applicant's professional abilities in terms of the following:

Thoroughness

Ability to work unsupervised

Ability to take responsibility

Initiative / Resourcefulness

Leadership Abilities

How easy is it to help/advise the applicant?

How does the applicant respond to criticism?

How does the applicant respond to new situations?

What do you consider to be the applicant's major strengths?

What do you consider to be the applicant's weak areas?

How well do you feel the applicant is able to work in a team situation?

Please comment on the applicant’s experience and ability to carry out the duties outlined in the enclosed Job Description.

Do you feel able to recommend the applicant for a position on the staff of Home for Good?

Submission

By checking this box you confirm you are the person named at the top of this form

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