Professional Reference Form

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Safer Recruitment Guidelines

At {{ $comp_name }} we support vulnerable young people and children.

As part of our Safer Recruitment Guidelines and to meet the requirements of our regulatory body, Ofsted, we are required to confirm if the individual has been involved in:

Any safeguarding matters
Potential risk to young people or children whilst employed by your company
Any disciplinary or dismissal
Reason for leaving

Important: By regulation, we must give any previous employer the opportunity to formally confirm that there is no reason why the applicant cannot work with young people or children.

Applicant Provided Information

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Applicant name

Applicant NI Number

Applicant date of birth

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Position employed As

Application address

Applicant Postcode

@endforeach

Employed from

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Employed to

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Does applicant provided information above match your own records?

Please provide the correct information below:

Applicant name

date of birth

Position employed As

Employed from

Employed to

Any Safeguarding concerns?

Please provide details

Any disciplinary action?

Please provide details

Do you believe there are any reasons why the applicant cannot work with young people or children? or any other comments/concerns please indicate them below

Please provide details

Please explain why the candidate left your employment?

Would you like to provide more information (optional)?

Verification & Suitability

Date you have known the applicant from

Date you have known the applicant to

Please highlight any positive aspects of the applicants work:

Are there any concerns regarding the applicant’s work?

Would your company re-employ this person?

Any additional comments