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Staff Reference Request
Reference request
First name
*
Last name
*
Email
*
Phone
Company name
Position
Name of person you are providing a reference for:
*
How long have you known the candidate?
*
Less than one year
Between 1-5 years
Over 5 years
Are you providing a professional or personal reference?
Professional
Personal
Would you have any concerns in relation to the applicant performing this role, including the contact s/he would have with colleagues or communities, children, young people, animals or other vulnerable groups? If yes, please provide details.
Yes
No
I am unable to comment
Has the applicant been subject to a substantiated disciplinary process relating to their work conduct? If yes, please provide details.
Yes
No
I am unable to comment
Would you hire the candidate again? If no, please provide details.
Yes
No
I am unable to comment
Thank you for your reference.
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