Reference - Josephines of Nottingham

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All of us in business wish to only employ people that will be a positive member of our teams, so thank you for taking the time to complete this form.

Reference Request

Name of Candidate(Required)

Your Name(Required)

Your business(Required)

The name of the business you are providing a referencing from

Willingness to Reference(Required)

I am not willing or able to provide a reference for this person

I am happy to provide a reference

Reference

Has this person worked for you?(Required)

Yes

No

If there was a probation period, did they pass it?(Required)

Yes, they passed it

No, they failed it

Prefer not to say

There was no probation period

Teamwork(Required)

How did the candidate get along with colleagues

Brilliant

Acceptable

Prefer not to say

Work ethic(Required)

How did the candidate approach work

Excellent, hard worker

Adequate, required a bit of prompting

Prefer not to say

Timekeeping(Required)

Excellent, always early or on time

Rarely late, but had good reasons

Prefer not to say

Time off / Working pattern / Reliability(Required)

Please tick as many as relevant

Rarely or Never sick

Sick days over a year averaged more than 2 a month

Always requested a weekend day off

If ill was usually only for a day at a time

Frequently swapped shifts

Very reliable

Covered shifts at short notice

Would you re-employ if they wanted to return?(Required)

Yes

No, it is our policy not to re-employ

No

Reason for leaving(Required)

Dismissed

Redundancy / Short Term Contract

Moved Away

None Given

Health or Family Reasons

Prefer not to say

Other

Please indicate the closest reason you understand for their leaving. We use this question to corroborate the information they have given us.

Workplace Morale(Required)

How did the candidate affect workplace morale amongst your staff?

Positive

Neutral

Prefer not to say

Suitability(Required)

No issue

Prefer not to say

Not able to say

This candidate could be working with young people aged 16-18, with food, dealing with customers, cash handling, cleaning and needing to work as part of a team. Can you foresee any issues from a safety and security aspect that would make you concerned about their suitability?

How well did you know them?(Required)

I worked with them very often

I worked with them rarely

I did not know them very well at all. Answers given are “best to my knowledge”

Find us

49 Upper Parliament St.

Nottingham

NG1 2AB

T: 0115 9474147

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Josephines Tea Lounges Ltd Company No. 12776887. Registered in England and Wales. Registered Office 49 Upper Parliament Street, Nottingham NG1 2AB

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