Example Reference Request Letter and Pro-Forma

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Childcare Workforce Development Team

Guide to Recruiting and Managing Childcare Staff

Example Reference Request Letter and


Pro-forma

PRIVATE AND CONFIDENTIAL

(Date)

Dear (Name)

Applicant: [name]

The above named person has applied to us for the post of [job title] with
(name of setting) and has given us your name as a referee.

I am enclosing a copy of the job description and the person specification for
the post, and would be grateful for your views on (Name of applicant)s
suitability for this position.

We would be most grateful if you could complete the attached form and return
it to us in the envelope provided, within the next week.

We would be grateful if you could confirm details of (name of candidates)


employment dates, and supply a reference as to (his/her) suitability to carry
out the duties in the enclosed job description. Please can you also confirm
whether you know of any reason why (name of candidate) would be
unsuitable to work with children. Please can you also confirm (his/her)
sickness absence and the number of occasions.

Yours faithfully

Name: .

Position / Job Title:

Enc. Job description and Person specification: ....

______________________________________________________________
All information contained was current on 01/09/2012. This is an example document for
you to utilise and adapt for your setting. It is recommended for all statutory and legal
requirements that further advice is sought from the appropriate organisation.
Childcare Workforce Development Team
Guide to Recruiting and Managing Childcare Staff

Name of Candidate: Candidates Home Address:

Position Applied for:


Position held: Dates of Employment:
Roles and Responsibilities held:

Has this individual ever been subject to a disciplinary procedure during their
employment with you? Please give details

Having read the job description and person specification, do you feel this
individual has the skills and attributes required for the post?

Has this individual ever been subject to any disciplinary offences related to
children? Including any in which the penalty time has expired. Please give
details and the outcome of any disciplinary procedures

How would you describe this individuals performance history and their
conduct in the job? Including performance management issues, disciplinary
investigations, proven disciplinary offences (whether time expired or not)

Please state whether you know of any reason why the applicant might be
considered unsuitable to work with children or whether you have any concern
about their suitability for such work in an early years setting.

Would you re-employ the individual? Yes No


If no, please give your reasons below:

Declaration
I confirm that all the information supplied is a true and correct record of the
above named individuals performance with our organisation.
Signature: Position:

Name: Date:

______________________________________________________________
All information contained was current on 01/09/2012. This is an example document for
you to utilise and adapt for your setting. It is recommended for all statutory and legal
requirements that further advice is sought from the appropriate organisation.

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