top of page

Reference Form

Name of candidate

Reference

The above named person has expressed an interest in working with Compass Disability Services/CDST Ltd and has given your name as a referee.
All information will be treated confidentially and in accordance with relevant legislation and guidance.

Your knowledge of the candidate:

Dates of employment (or dates known to you), to and from (DD/MM/YY):

Capacity in which the candidate was employed or known, and reason for leaving:

Safeguarding and child protection concerns:

This post may involve working with vulnerable adults, children and young people. As an organisation committed to the welfare and protection of vulnerable adults, children and young people. Are you aware of any reason why this person might not be suitable to work with us including substantiated allegations and/or disciplinary action?

Safeguarding concerns; please answer YES / NO. If yes, please give more information

Please rate the candidate on the following qualities:

Other information:

Please add any further information or comments that you feel are relevant to the person

Your details and declaration:

Please provide your Name, Organisation, Position, and Contact Number/s

I declare that all of the information supplied presents a true and accurate record of the above named individual.

Your Signature

By submitting this form, you are agreeing the information given above is correct.

Submitted!

bottom of page