REFERENCE- Donna Strong

Reference Form

Name of Person Completing Reference

First Name

Last Name

Email Address

Contact number

How long have you known the applicant and in what capacity?

If you are a previous employer please state the start and end dates and also the reason for leaving

Can you please comment on the indviduals strengths

Can you please comment on any areas of development

How would you rate the individuals Punctuality

How would you rate the individuals standard of work / performance

How would you rate the individuals verbal communication skills ( including reporting issues )

How would you rate the individuals written communication skills

How would you rate the individuals ability to manage under pressure

How would you rate the individuals ability to work as part of a team

Do you have any concerns about the individual lone working with vulnerable adults

If you are a previous employer are you aware of any disciplinary action taken against the employee?

If you are a previous employer , how many absences has the individual had in the last 12 months?

Any other comments?

Signed

Positive Support For You CIC

Office 7 Second Floor Beresford Buildings

Thorntree

Middlesbrough

TS3 9NB

01642 787547