Reference request form - Haywood Homes

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01673308228

CONFIDENTIAL

Reference request

Position Applied for:

Full Name

Email

Reference for

What is your relation to the candidate?

In what industry did the candidate work with you in?

What was your duration of employment with the candidate?

Reason for Leaving?

Were they or have they ever been the subject of any disciplinary procedure? If yes, please detail.

Have there been any conduct issues that have required attention? If yes, please detail.

Would you re-employ the above named.

The number of days absent in the last 2 years?

Certified

Non-certified

Punctuality

Outstanding Good Adequate Poor

Honesty/Integrity

Outstanding Good Adequate Poor

Conduct/Sobriety

Outstanding Good Adequate Poor

Work performance

Outstanding Good Adequate Poor

Communication skills

Outstanding Good Adequate Poor

Team working

Outstanding Good Adequate Poor

Caring nature

Outstanding Good Adequate Poor

Reliability

Outstanding Good Adequate Poor

Any other information you may feel relevant about the candidate and the post they have applied for.

Completed by

Signature

Job title

Company name

Telephone number

Date

01673308228
Info@haywoodhomes.org
Lincolnshire

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