RE: Reference request for [NAME]
We have recently offered ……….. role of …………….., and they have provided your details as a
reference.
1. We would be grateful if you would answer the following employed by you?
questions regarding their employment at …………… Your comments will be treated in the strictest
confidence.
2. In what capacity were they
3. For how long were they employed?
4. How many days was they absent due to sickness in the last three years?
5. On the following scale , where 4 is very good and 1 is poor, please rate the candidate in
respect of their:
Honesty 1 2 3 4
Conduct 1 2 3 4
Timekeeping 1 2 3 4
Quality of work 1 2 3 4
Relationships with others 1 2 3 4
6. How many weeks (if any) of Parental Leave have they taken?
7. Are there any reasons or circumstances which would make it undesirable for us to consider
the application?
If ‘Yes’, please provide further details.
8. Would you re employ them?
9. What was their reason for leaving?
10. If the candidate makes a subject access request under data protection legislation to view the
personal data held about them, do you give your express consent to give them access to this
reference?
11. To the best of your knowledge, do you believe the applicant to be honest and trustworthy?
12. Please provide details of any outstanding disciplinary action upon termination of
employment?
As our recruitment is subject to receiving satisfactory references for candidates, your early reply
would be appreciated.
Thank you for your assistance.
Yours sincerely
………………….