Please enter the form fields below in order to submit your vacancy or can download the form in .doc format and fill it and send back to us.

Reference provided by
Position/relationship
Company Name and Address
Telephone /email

Dates Employed
Job Title

Reference Details	Honesty/Integrity	Excellent Good Average Poor
	Attendance/punctuality	Excellent Good Average Poor
	Attitude towards others	Excellent Good Average Poor
	Enthusiasm	Excellent Good Average Poor
	Ability to work alone	Excellent Good Average Poor
	Ability to work in a team	Excellent Good Average Poor
	Ability to learn	Excellent Good Average Poor
	Ability to accept instruction	Excellent Good Average Poor
	Ability to follow instruction	Excellent Good Average Poor
	General conduct	Excellent Good Average Poor
	Personal/self confidence	Excellent Good Average Poor
	Ability to lead a team (if applicable)	Excellent Good Average Poor

Further Comments
Are you happy for the above information to be shared with the applicant?	Yes   No

I confirm that the above information, to my knowledge, is accurate and true.