Childcare Reference Childcare Reference Please complete the following reference for the candidate. All fields marked with * are required. 1. Candidate Details Candidate Name * Position Held * Start Date * End Date * 2. Employment Details Was the position? * Please select...PermanentContractSupplyVoluntary Was the employment? * Please select...Full timePart time Please identify your establishment type: * Please select...NurserySchoolCollegeUniversityOther If Other, please specify: Relationship with Candidate * Age Groups Taught * Would you re-employ the candidate? * YesNo If No, please provide details: Role Description / Subjects Taught or Supported * Reason for Leaving Employment * 3. Safeguarding & Disciplinary Information Please answer the following questions in relation to the candidate's employment. Was the candidate undergoing any stage of disciplinary proceedings or subject to any investigation when they left your employment? * YesNo Does the candidate have any history of disciplinary action that relates to the safety of children? * YesNo Do you know of any reason why the applicant shouldn't be engaged to work with children? * YesNo If you have answered Yes to any of the above, please provide details: * 4. Candidate Assessment Please rate the candidate against each of the following criteria. Pupil / Class Control and Discipline * Please select a rating...ExcellentGoodAverageBelow AveragePoorNot Applicable Preparation & Planning * Please select a rating...ExcellentGoodAverageBelow AveragePoorNot Applicable Professionalism / Conduct * Please select a rating...ExcellentGoodAverageBelow AveragePoorNot Applicable Teaching Ability * Please select a rating...ExcellentGoodAverageBelow AveragePoorNot Applicable Relationship with Students * Please select a rating...ExcellentGoodAverageBelow AveragePoorNot Applicable Suitability for Supply Work * Please select a rating...ExcellentGoodAverageBelow AveragePoorNot Applicable Additional Comments 5. Referee Details Your Name * Your Position * Your Current Employer * Today's Date * Your Work Email * 6. Declaration & Consent Are you happy for this reference to be provided to potential future employers? * YesNo Signature * Please sign in the box above to confirm that the information provided is accurate to the best of your knowledge.
