Employer Reference Form

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Employer Reference

"*" indicates required fields

Name of Applicant:*

Position Applied for*

Referee Details

Referee Name*

Referee Job Title*

How long have you known the applicant?:*

In what capacity have you known the applicant?*

What was/is the applicant’s Job Title?*

Start date

MM slash DD slash YYYY

End date

MM slash DD slash YYYY

What was the applicant's salary at the time of employment? (Please specify if annual, monthly, or hourly)*

Please provide a brief description of the applicant's duties and responsibilities in their role*

How many days of sick leave did the applicant take in the past 12 months*

Professional Conduct*

Highly Satisfactory	Satisfactory	Not Satisfactory

Punctuality & Timekeeping*

Highly Satisfactory	Satisfactory	Not Satisfactory

Attitude & Work Ethic*

Highly Satisfactory	Satisfactory	Not Satisfactory

Quality of Work*

Highly Satisfactory	Satisfactory	Not Satisfactory

Dependability & Reliability*

Highly Satisfactory	Satisfactory	Not Satisfactory

Integrity & Honesty*

Highly Satisfactory	Satisfactory	Not Satisfactory

Teamwork & Colleague Relationships*

Highly Satisfactory	Satisfactory	Not Satisfactory

Ability to Meet Targets & Deadlines*

Highly Satisfactory	Satisfactory	Not Satisfactory

Initiative & Problem-Solving*

Highly Satisfactory	Satisfactory	Not Satisfactory

Ability to Work Under Pressure*

Highly Satisfactory	Satisfactory	Not Satisfactory

Leadership & Management Skills (if applicable)*

Highly Satisfactory	Satisfactory	Not Satisfactory

We would be grateful if you could complete the following assessment to help us evaluate the candidate’s suitability for the post. Please tick the most appropriate box for each statement based on your observations of the candidate’s performance

Skills & Competencies Assessment*

	1= Exceptional	2= Very Good	3= Good	4= Average	5= Below Average	6= Not Observed/Unable to Comment
The candidate has strong interpersonal skills
The candidate works well as part of a team
The candidate demonstrates initiative, sound judgment, and takes responsibility within an agreed framework
The candidate communicates effectively and sensitively with adults and children
The candidate has recently demonstrated good communication skills with a wide range of people
The candidate contributes to the support of children in all areas of personal and educational development
The candidate has strong numeracy skills
The candidate has strong literacy skills

Professionalism & Work Performance*

	1= Exceptional	2= Very Good	3= Good	4= Average	5= Below Average	6= Not Observed/Unable to Comment
Statement
The candidate is able to keep accurate records
The candidate maintains confidentiality and professionalism
The candidate has experience in planning, monitoring, and assessing pupils’ work
The candidate has experience working in an educational setting
The candidate has skills in using ICT (e.g., word processing, databases, spreadsheets, publisher)
The candidate has knowledge of how young children learn
The candidate has knowledge and experience of the Early Years Foundation Stage
The candidate has demonstrated commitment to relevant job training

Additional Information

Please provide details regarding the candidate’s punctuality and attendance record:

Have you or your colleagues ever had concerns regarding this person's behaviour or judgment?

No

Yes (If yes, please provide examples of events or incidents that raised these concerns):

If yes, please provide examples of events or incidents that raised these concerns

Has the applicant ever been involved in any disciplinary incidents related to children or other matters?

No

Yes (If yes, please provide details of the disciplinary matter and its outcome)

If yes, please provide details of the disciplinary matter and its outcome*

Has the applicant ever been the subject of any disciplinary offenses related to children?

No

Yes (If yes, please provide details of the offense and the outcome)

If yes, please provide details of the offense and the outcome*

Are there any additional comments or observations you would like to provide regarding the applicant?

Declaration*

I confirm that the information provided above is accurate to the best of my knowledge.

Signed*

Position*

Print Name*

Date*

MM slash DD slash YYYY