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Candidate NameÂ
Establishment NameÂ
Position Candidate Held
Start Date Of Employment
*
End Date Of Employment
*
Reason for Leaving:
Neature Of Employment
*
Permanent
Contract
Supply Agency
Other
In what capacity do you know the applicate?
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Candidates Timekeping/Punctuality
*
Outstanding
Very Good
Good
Satisfactory
Un-Satisfactory
N/A
Reliability
*
Outstanding
Very Good
Good
Satisfactory
Un-Satisfactory
N/A
Professionalism
*
Outstanding
Very Good
Good
Satisfactory
Un-Satisfactory
N/A
Teaching Ability
*
Outstanding
Very Good
Good
Satisfactory
Un-Satisfactory
N/A
Relationship with colleagues
*
Outstanding
Very Good
Good
Satisfactory
Un-Satisfactory
N/A
Relationship with students
*
Outstanding
Very Good
Good
Satisfactory
Un-Satisfactory
N/A
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Would you re-employ ?
*
Yes
No
Have there been any safeguarding concerns relating to this person?
*
Yes
No
Is there any reason this person should not work with young people?
*
Yes
No
Can we share this with the person in question should the request to see it?
*
Yes
No
If yes please give details:
Additional comments
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Full Name
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Your Position
Signature
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Date
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