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: