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Reference Request
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Reference Request
Reference Request
STRICTLY PRIVATE & CONFIDENTIAL
Jazakallah for providing this reference to Madrasah Zeenatul Quran. Please answer all questions, ensuring that the reference is accurate, and does not contain misstatement or omission.
Applicant’s Name:
*
Position Applied for:
*
Select Position Applied for
Teacher
Volunteer
Capacity in which you know the applicant?:
*
Please indicate your assessment of the applicant with regards to
Positive attitude to work:
*
--Select--
Excellent
Very Good
Good
Average
Poor
Ability to work as a member of the team:
*
--Select--
Excellent
Very Good
Good
Average
Poor
Professional relationship with colleagues:
*
--Select--
Excellent
Very Good
Good
Average
Poor
Relationship with parents:
*
--Select--
Excellent
Very Good
Good
Average
Poor
Quality of any tasks performed:
*
--Select--
Excellent
Very Good
Good
Average
Poor
Attention to detail:
*
--Select--
Excellent
Very Good
Good
Average
Poor
Ability to work on own initiative:
*
--Select--
Excellent
Very Good
Good
Average
Poor
Honesty:
*
--Select--
Excellent
Very Good
Good
Average
Poor
Conscientiousness & reliability:
*
--Select--
Excellent
Very Good
Good
Average
Poor
Punctuality & time keeping:
*
--Select--
Excellent
Very Good
Good
Average
Poor
Health/attendance record:
*
--Select--
Excellent
Very Good
Good
Average
Poor
Suitability for the position applied for:
*
--Select--
Excellent
Very Good
Good
Average
Poor
Are there any disciplinary procedures, allegations or concerns which the applicant has been subject to involving issues related to the safety and welfare of children or young people, including any where the disciplinary sanction may have expired. Please provide details of the allegations investigated, the conclusion and how the matter was resolved.:
*
--Select--
Yes
No
Please state any additional information that may assist us
In writing your reference, please note that, in order to protect children, the post for which this application has been made is exempt from section 4(2) of the Rehabilitation of Offenders Act 1974 (Exemptions) (Amendment) Order 1986. Therefore, please notify us of any information you may have concerning convictions/bind overs/cautions which would otherwise be considered as ‘spent’ and which you consider relevant to the applicants suitability for employment. Any such information will be kept in strict confidence and used only in consideration of his/her suitability by our Madrasah.
Other Info
Signature:
*
Tel Number:
*
Date:
*
Submit