HHL Reference Request Form

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HHL Reference Request Form

Applicant Details(Required)

First Last

Position Applied For(Required)

Your Details(Required)

Referee Name Referee Surname

Position

Organisation

Business/Personal Address(Required)

Street Address Address Line 2 City Zip/ Postal Code

Business/Personal Email(Required)

Business/Personal Phone(Required)

In what capacity are you filling this reference form

Line Manager

Character Ref

Applicant Employment Details

Applicant's Job Title(Required)

Dates of employment

From (MMYY) - To (MMYY)

Applicant's reason of leaving

Are there any current warnings on the applicant’s record?

Yes

If yes, please give details:

Is the applicant currently under investigation for any matter (including conduct, capability or performance) under any of your employment policies?

Yes

If yes, please give details:

Are you aware of any recent/outstanding allegations that were made against the applicant that relate to safeguarding issues or referrals (including referrals to the Disclosure and Barring Service)?

Yes

If yes, please give details:

Character Reference

(Please describe applicant to your best ability and detailing their suitability for the post applied for)

Note: Any information given will be covered by the Data Protection Act 1998. In certain circumstances, HHL Professionals may wish to discuss the contents of the above reference form with the subject of the reference. Please sign and date below to consent to the contents of this reference form being shared with the individual concerned (where applicable).

Date

Signature(Required)

Email (covering email attached) Yes/No

Post / Fax (covering letter / compliment slip / fax header sheet attached) Yes/No

Reference received by: Please complete below

Position: (HHL)

Date

Signature(Required)