Professional Reference Form

Name of Candidate*

First Last

Name of Referee*

First Last

Email address of Referee*

Telephone Number of Referee*

(to contact you to verify reference)

How long have you known this candidate and in what capacity?*

What position did this person hold when you worked together (if applicable)?

What was the name of the organisation that you worked in together?*

What is/was the reason for the candidate leaving the post?*

What are this person’s greatest strengths?*

In what areas do you feel this person could further develop their skills / experience?*

How would this person react to a decision he/she did not like, or to constructive criticism?*

What influence does this person have on school morale & culture?*

Do you believe that this person is suitable for a school leadership role and if not could you give specific details of your concerns?*

Are you aware if this person has ever been subject to disciplinary proceedings, and if so are you able to give further details?*

Are you aware of any complaints or allegations made about this person in regards to their working with children or young people? If yes, please explain?*

Would you wish your school/organisation to retain or re-employ this person?*

with great enthusiasm
with enthusiasm
with neutrality
with slight hesitation
not at all

Compared to all teachers/administrators/heads/deputies that you have observed or known during your career, you believe this person ranks in the:*

Your further comments about this candidate*

Please give an indication of where this person ranks in the following by clicking the most appropriate radio button:

Knowledge about education*

Relationship with students*

Ability to inspire students*

Relationship with parents*

Relationship with peers*

Relationship with staff*

Ability to lead a team*

Ability to communicate effectively*

Resilience*

Organisational skills*

Sense of humour*

Attendance*

Overall rating of candidate*

I know of no reason why this person should not be employed in working with children or young people (please tick if true).*

I know of no reason why this person should not be employed in working with children or young people

Recommendation*

I recommend this person unreservedly
I recommend this person
I do not recommend this person

Declaration

Declaration*

I declare that the information I have given is, to the best of my knowledge and belief, a true and fair commentary on the person named. I agree that the information provided here may be processed in connection with recruitment purposes by LSC Education.
I declare that I am the person named as the Referee on this form.

Date

As part of our safer recruitment procedure we like to personally verify each reference. We will contact you on the telephone number provided above. This call will only take a few minutes. We look forward to speaking to you in the coming days.

Professional Reference Form

Declaration

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