Request Reference

PERSONNEL Reference Request (Date) (Address) Dear Sir/Madam (Applicant’s Name), (Date of Birth), has applied for the post of (post title) with the University of Bradford and has provided your name as a referee. I should be grateful if you could comment on the applicant’s suitability for the post (details enclosed for your reference) by completing the relevant section below. Please be assured that the information you provide will be treated in strictest confidence. Section 1 To be completed by previous employer (if this does not apply to you proceed to section 2) Position Held by Applicant ……………………………………………………………… Dates of Employment Reason for Leaving From ….…….…………….. To………………..…..…….. ………………..…………………………………………….. Your relationship to Applicant ………………………………………………………….. Please comment on the following key areas by selecting the appropriate boxes. 1=Excellent, 4=Poor 1 Attendance/timekeeping 2 3 4 Comments: ______________________ ____________________________ Communication Skills ______________________ ____________________________ Honesty/Integrity ______________________ ____________________________ Team Work ______________________ ____________________________ PERSONNEL Co-operation ______________________ ____________________________ Efficiency/Productivity ______________________ ____________________________ Overall Performance ______________________ ____________________________ Number of days off sick in last 12 months Section 2 ……………………………………………… Please provide your assessment as to the applicant’s general suitability for the post ………………………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. If you are not the applicants previous employer please state your relationship to the Applicant: ………………………………………………………………………….. Name ……………………………………. Signature ……………………………….. Tel: ………………………………………. Thank you for time. Please return the completed form to the above address as soon as possible or fax back on 01274 235220. Yours sincerely Position …………………………………… Date ……………………………………….. Personnel Officer Tel: Email:

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