Candidate Reference Check Details
Candidate Name:
Role Applied:
As part of the final screening process, we will conduct two professional Reference Checks. Please list the
details of two of your most recent references. Referees must be supervisors or managers, not colleagues or
character references. Referees may include; Facilitator, Lecturer, RNIC, Clinical Care Coordinator, Care
Manager, Facility/General Manager, Line Manager.
Please ensure that the referees listed are managers that you have directly reported into.
Reference 1:
Name of Organisation:
Referee Name:
Referee Position Title:
Referee Phone Number:
Referee E-mail:
Your position at the Organisation:
Dates Employed:
Reference 2:
Name of Organisation:
Referee Name:
Referee Position Title:
Referee Phone Number:
Referee E-mail:
Your position at the Organisation:
Dates Employed: