References and Application - Sutton Valence School

Employer Reference Request

Name of Employee(Required)

First Last

Date Employed From(Required)

Date Employed To(Required)

Employed as(Required)

Please give brief details of duties, responsibilities and training undertaken while in employment(Required)

Stated Reason for Leaving(Required)

Please comment on relationship with colleagues, subordinates and superiors(Required)

Please comment on ability(Required)

Please comment on reliability, honesty and trustworthiness(Required)

Please comment on punctuality(Required)

Number of day’s sickness during the last 2 years of employment(Required)

Would you re-employ?(Required)

Yes

If you answered no to the previous question, why not?

Would you consider the applicant suitable for the position?(Required)

Yes

Please give an explanation for your last answer(Required)

Are you completely satisfied that the applicant is suitable to work with children?(Required)

Yes

If you answered ‘No’ to the last question, please give your concerns why you think the applicant might not be suitable

Are you completely satisfied that the candidate is not involved in "extremism" being vocal or active opposition to fundamental British values, including democracy, the rule of law, individual liberty and mutual respect and tolerance of different faiths and beliefs? Extremism also includes calls for the death of members of our armed forces, whether in this country or overseas.(Required)

Yes

If you answered ‘No’ to the last question, please give specific reasons for your concerns

Has the applicant been subject to any disciplinary procedures where the disciplinary sanction is still current?(Required)

Yes

If you answered ‘Yes’ to the last question, please give details

Has the applicant been subject to any disciplinary procedures relating to the safety and welfare of children or young people including where the disciplinary sanction has expired?(Required)

Yes

If you answered ‘Yes’ to the last question, please give details

Any other comments?

Verbal Reference Follow-Up

It is a requirement of the Governors that all references are followed up with verbal contact to clarify the content of the reference and receive fuller details. Consequently we will be making contact with you shortly. Thank you in advance for you co-operation in this matter.

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