Staff Reference Request

    Staff Reference Request - Private and Confidential

    Date employed from (required)
    (If the date picker is not displayed enter the date YYYY-MM-DD e.g. 2020-10-20)

    Date employed to (required)
    (If the date picker is not displayed enter the date YYYY-MM-DD e.g. 2020-10-20)

    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:
    (If the date picker is not displayed enter the date YYYY-MM-DD e.g. 2020-10-20)

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