Reference request

Thank you for taking the time to complete our reference form.

Your name (required)
Your email (required)
Business name (if applicable)
Your phone number

Name of the person you are providing a reference for (required)

Your job role
Their job role (required)
Their start date (required)
Their end date (if applicable)
Do you consider their performance in their job role to be:
PoorAverageGoodExcellent
Do you their time keeping and attendance record to be:
PoorAverageGoodExcellent
Do you consider them trustworthy, honest and reliable?
YesNo
Would you re-employ them?
YesNoNot policy

Note any further comments here: