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Employer Reference Request

The document is an Employer Reference Request Form for Amber Care (Lincolnshire) Ltd, requesting information about an applicant's employment history, conduct, strengths, weaknesses, and suitability for a position. It includes sections for the referee to provide ratings on various attributes and to disclose any disciplinary actions or sickness records. The form also requests confirmation of the referee's contact details and a signature for verification.

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8 views2 pages

Employer Reference Request

The document is an Employer Reference Request Form for Amber Care (Lincolnshire) Ltd, requesting information about an applicant's employment history, conduct, strengths, weaknesses, and suitability for a position. It includes sections for the referee to provide ratings on various attributes and to disclose any disciplinary actions or sickness records. The form also requests confirmation of the referee's contact details and a signature for verification.

Uploaded by

Boster Murove
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Company Number 08596756

Amber Care (Lincolnshire) Ltd


Amber Care (Lincolnshire) Ltd
39 Queen Street
Market Rasen
LN8 3EN
Tel: 01673 308501

Employer Reference Request Form

Name of Applicant:

Post Applied for:

1. How do you know the applicant?.................................................................................

2. Please give the applicant’s dates of employment with your organisation:

From: .......................................................... To: ..........................................................

3. Was employment continuous during this period? YES / NO

If ‘NO’, please give details:

4. In what capacity was s/he employed?.............................................................................

5. How would you rate the applicant in relation to the following (please tick)?

Excellent Good Fair Poor


Conduct

Timekeeping

Attitude & level of cooperation

Dependability

Trustworthiness/Honesty

Relationships with colleagues

Relationship with Managers

If any of the above were ‘fair’ or ‘poor’, please explain why:

6. What was the reason for leaving?

7. What are the applicant’s key strengths and aptitudes?

1
Company Number 08596756

Amber Care (Lincolnshire) Ltd


8. What are the applicant’s main weaknesses/ areas of developmental need?

9. Are there any reasons why you would not consider this person to be a suitable applicant for this post?
YES / NO
If ‘YES’, please give reasons:

10. Has the applicant ever been the subject of Disciplinary Proceedings? YES / NO
If ‘YES’, please give reasons:

11. Has the applicant been off work due to sickness during the past 12 months? YES / NO
If ‘YES’, please detail the number of days and nature of sickness:

12. Would you re-employ the applicant? YES / NO


If ‘NO’, please give details:

13. Please give any other information which you feel may be useful:

It is Amber Care Limited policy to confirm a reference verbally. Please give details of your work
contact number.

Signed:

Name: Date:

Position:

Work Telephone Number:

Company Stamp (or please attach a compliment slip):

If the reference is being sent by email, please use a work email address if possible.

Email to: mkrambercare@[Link]

Thank you.

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