Reference Form - Cheryl Carpenter

Name of Person Completing Reference *

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 *

South Shields Business Works,

Henry Robson Way,

South Shields,

Tyne and Wear ,

NE33 1RF