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Reference Request Form

The document is a reference request form designed to gather information about a job applicant from their referee. It includes sections for basic information, professional details, and suitability ratings on key attributes such as teamwork, flexibility, accountability, and conscientiousness. The form aims to assess the candidate's fit for a position as a Wellbeing Support Worker at BelleVie.

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Arona Nguirane
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13 views7 pages

Reference Request Form

The document is a reference request form designed to gather information about a job applicant from their referee. It includes sections for basic information, professional details, and suitability ratings on key attributes such as teamwork, flexibility, accountability, and conscientiousness. The form aims to assess the candidate's fit for a position as a Wellbeing Support Worker at BelleVie.

Uploaded by

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

Thank you very much for taking the time to help us with our recruitment
process and giving your perspective on the candidate.
* Indicates required question

Skip to question 1Skip to question 1

Basic Information

1. Name of applicant *

2. Referee's name *

3. Referee's contact number *

4. Referee's job title + company name

5. Capacity in which the applicant is known to you *

6. How long have you known the applicant? *


Professional information

If you knew the applicant in a professional capacity please complete this


section. If not please move on to the questions in the next section - "Suitability"

7. Role held

8. Dates of employment with your organisation (if applicable)

9. Reason for leaving

10. Has this person been subject to disciplinary proceedings during their
employment?

11. Would you re-employ this person and why?


Suitability

Please comment on the following values that will reflect the candidates suitability
for this position

12. Our BelleVie Wellbeing Support Workers work in self managing teams. This *
means that co operation and team work are key to our success. Would you
say this person is a team player? Please rate on a scale of 1-5 with 1 being
poor and 5 excellent

Mark only one oval.

Poor

Excellent
13. Our team workers support each other and occasionally cover for each others
* absences. Would you say this person is flexible in their approach to work?
Please rate on a scale of 1-5 with 1 being poor and 5 excellent

Mark only one oval.

Poor

Excellent
14. Everyone in the team shares accountability for decision making and delivering *
high quality work. Would you say this person demonstrates accountability?
Please rate on a scale of 1-5 with 1 being poor and 5 excellent

Mark only one oval.

Poor

Excellent
15. Would you describe this person as conscientious? Please rate on a scale of 1- *
5 with 1 being poor and 5 excellent

Mark only one oval.

Poor

Excellent

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