top of page
office@treehousechildcare.co.uk
0161 286 9705
Home
Bookings
Services
Breakfast Club
After School Club
Holiday Club
More...
Use tab to navigate through the menu items.
Reference Request
Finding Inspiration in Every Turn
Reference Request Form
Name of Applicant
Position Applied for
Start Date
End Date
Main Duties and Responsibilities
Would you re-employ this person?
*
Required
Yes
No
Please rate the applicant's Punctuality
*
Required
Very Good
Good
Fair
Poor
Please rate the applicant's relationship with others
*
Required
Very Good
Good
Fair
Poor
Please rate this applicants quality work
*
Required
Very Good
Good
Fair
Poor
Please rate the applicant's reliability to work
*
Required
Very Good
Good
Fair
Poor
Please rate the applicant's honesty/trustworthiness?
*
Required
Very Good
Good
Fair
Poor
How would you rate the applicant's work without supervision?
*
Required
Very Good
Good
Fair
Poor
Do you know of any reason why this person should not work with children?
*
Required
Yes
No
If yes, please state the reasons why this person should not work with children.
Additional Comments
Your Name
Email
Company / Orgsanisation
Phone
Your Position
I confirm that the information given on this form is true, complete and accurate. I understand that in accordance with the Data Protection Act my information will be held electronically. I understand that any offer of a place to an applicant will be based on the information given in this form and that if I am found to have supplied false information, any such offer will be withdrawn.
Clear
Submit Reference
Thank you for your time.
bottom of page
