Reference Check Form

Your details

First Name*
Please enter your first name.
Please enter your first name.
Last Name*
Please enter your last name.
Please enter your last name.
Email*
Please enter your email.
Please enter your email.
Phone Number*
Please enter your phone number.
Please enter your phone number.

Who are you doing a reference for?

First Name*
Please enter their first name.
Please enter their first name.
Last Name*
Please enter their last name.
Please enter their last name.

Reference

Are you a relative or friend?*
Limit of 200 characters
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How did you initially meet them?*
Limit of 200 characters
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When did they start and finish working for you?*
Limit of 200 characters
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What was the youngest child’s age when they started working for you?*
What were the ages of other children in their care? (Limit of 200 characters)
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What were their responsibilities whilst they worked for you?*
Limit of 200 characters
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Did they have sole or shared care?*
Sole means they were responsible for looking after children by themselves. (Limit of 200 characters)
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Are they always punctual?*
Limit of 200 characters
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Are they honest and trustworthy?*
Limit of 200 characters
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Do they take feedback and direction on board?*
Limit of 200 characters
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Was there ever a complaint about their performance, safety or behavior? (*If so please explain)*
Limit of 200 characters
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Why did they leave your employment?*
Limit of 200 characters
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Would you employ them again?*
Limit of 200 characters
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Please answer the question and limit your answer to 200 characters (including spaces).
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