Uk Staffing Service Zintra:Zintra Staffing

Applicant Name

Date of birth

Job title

Start date

Leaving date

Leaving date:

In what capacity do you know the applicant?

Referring to the job description, please describe the applicant’s ability to undertake their role

Please inform us of any disciplinary actions that might have been taken against the applicant:

Would you re-employ the applicant?

To your knowledge, has the applicant ever been convicted of a criminal offence (subject to Rehabilitation of Offenders Act 1974 Provisions)?

If YES, please give details:

Please rate the applicant on the following characteristics.

Do you have any other information regarding this application, which you believe, should be known to us as prospective employers?

Reference Name

Reference Email

Reference Phone

Position

Company Name

Address Line1

Address Line2

City

County

Post Code

Country

Date

Are you happy for us to contact you about the information you have provided?

Signature

Reference request form