Staff Reference Request

Staff Reference Request - Private and Confidential

Date employed from (required)

Date employed to (required)

Duties:

Please comment on the following:

Honesty

Flexibility

Enthusiasm

Organisational skills

Creativity

Communication skills

Relationship with staff

Relationship with children

Attendance/Punctuality

Is there any reason to your knowledge why this applicant should not work in an early years setting?
YesNo

If you have answered yes, please give reasons:

Has this individual ever been subject to a formal disciplinary / capability procedure during their employment with you?
YesNo

If yes please indicate reasons and level of disciplinary / capability action taken

Would you re-employ?
YesNo

If no please give your reasons below:

Is there anything not already covered that you feel it should be mentioned?

Date:

Declaration
I confirm that all the information supplied is a true and correct record of the above named individuals performance with our organisation.