Reference Form

Was the position terminated? *

Is the applicant currently undergoing any disciplinary procedures? *

Does the applicant have any disciplinary warning still in force? *

Does the applicant leave his/her post during an investigation into their conduct? *

If the applicant has had custody of cash was his/her record entirely satisfactory? *

Please state the standard of work provided by the applicant: *

Please rate the flexibility and willingness of the applicant: *

Please rate the ability to work unsupervised by the applicant: *

Please rate whether the applicant would be suitable to work as part of a team: *

Please rate the use of initiative from the applicant: *

Please rate the timekeeping/reliability record of the applicant: *

Please rate the attitude towards management from the applicant: *

Is the applicant’s health generally satisfactory? *