Employee Reference Request

Your details have been given by an applicant as able to provide a reference for employment.

Please fill in the details below in order for the HR Team at Alice House to process this persons application for employment.

Please input below the Reference ID which you will find on our Reference Request in the following format: aa-9999-aaaa

Reference ID(Required)

Employment Start Date(Required)

Employment End Date(Required)

In the capacity of(Required)

Please state the reason for him/her leaving your employment.

Was the applicant subject to any disciplinary procedures?(Required)

Yes, the applicant was subject to disciplinary procedures.

No, the applicant was not subject to disciplinary procedures.

If yes, please give details…

Please comment on the applicants honesty

Please comment on the applicants trustworthiness

Was the applicants work satisfactory?(Required)

Yes, their work was satisfactory

No, their work was not satisfactory

What was the applicants timekeeping record during their employment

Are there any circumstances in your knowledge, which would prevent us from employing (or would make it undesirable for us to engage) the applicant?

Would you be willing to re employ the person?

Yes, we would be willing to re-employ

No, we would not be wiling to re-employ

Please include any other details or comments which you feel are applicable to this application.

Name

Position

Date

Email(Required)

Enter Email Confirm Email

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