Non-Teacher Reference Request

Candidate Details

Candidate’s full name:*

First Middle Last

Organisation:*

Employed From*

Employed To*

Punctuality*

Attendance*

Health*

Reliability*

Relationship with colleagues*

Overall contribution*

Are you aware of any safeguarding concerns in relation to this candidate?*

Do you know of any reason this candidate should be excluded from working with children or young people?*

Would you re-employ this person?*

If no, please comment why

Any Additional Comments:

Name*

First Last

Position:*

Signature

Would like us to share this information with a third party in relation to a placement.*

Administrator: