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Online Reference Form

Please fill out the fields below.

Name of Applicant *

Job Title

Employed Since * date_range

Employed Untill * date_range

Responsibilities

Age Group Worked With (If Applicable)

What Age Group Most Suited (If Applicable)

Allegations and Concerns

Concerns Regarding Extremism

Experience With SEN (If Applicable)

Reason For Leaving

General Attitude

Team Player

Adaptability

Willingness to Learn

Professionalism

Communication

Punctuality

Reliability

Maturity

Leadership

Care Towards Children

Manner with Parents

Ability Under Pressure

Initative

Relations With Staff

Relations With Management

Trustworthiness

Quality of Work

Disciplinary Procedures

Would You Employ Again

Todays Date date_range

Your Name

Position

Email Address

Phone Number

Notes

Consent To Share With Applicant Yes No

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