Recruitment 05 Reference Request FormReference Request Form* indicated fields must be completedObtaining references is a crucial part of our recruitment and selection procedure therefore, we would be grateful if you could complete the following questions relating to their performance. The law allows us to use the Personal Information as set out in our privacy policy which can be found on Passion To Care Services’s website on the basis that the processing is necessary for the performance of a contract with our candidate or client, or we are acting in our “legitimate interests”, for example, for the purposes of effective business management or we have a legal obligation to do so.First NameLast NameDoes your company policy allow to give detailed references?– Select –YesNoPeriod of employmentEmployment Start DateEmployment End DateWhat was their job title?Disciplinary actionHas the applicant ever been the subject of a disciplinary investigation/hearing?– Select –YesNoPlease provide reason belowHas the applicant ever been the subject of a disciplinary investigation/hearing?– Select –YesNoPlease provide reason belowPlease feel free to add any additional comments you deem relevantExitReason For LeavingWould you remploy this person– Select –YesNoIf no, please detail reasonsReferees DetailsFull NameCompany NamePositionPhone/MobileEmailIf this is not a work/business email address, in order to verify this employment reference please can you upload a form of business ID, this can be a compliment slip, business card, letterhead etc.File formats: PDF, DOC, DOCX, JPG, JPEG / Maximum file size: 5 MB / Maximum number of files: up to 5 FilesUpload CV & Documents By Signing below I confirm that I am the named referee and that the above information is correct to the best of my knowledge.Sign DateSEND FORM