Personal Reference

Candidate's Name

About You

Your Name

Address

Address Line 1

Address Line 2

Town/City

Postcode

Email *

Telephone

How long have you know the candidate?

How do you know the candidate?

Are you related?

• Yes
• No

The post applied for involves close work with children. Do you have any safe guarding issues or concerns about the candidates suitability?

Reference - Please give a character reference with particular attention to strengths, honesty, rapport with others, communication *

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Date *

Name

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