Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Former Employee's NameFirstLastDate Employment Started *Date Employment Ended *Referee NameFirstLastReferee EmailRelationship to Employee Date Do continuing Your Company Details & Nature of Business *Do you know if the applicant was under Disciplinary Proceedings for any reason? *NoYesIf you answered 'Yes' to the above please provide detailsHow many stars would you give this employee for their professionalism? *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5How many stars would you give this employee for their comitment to safeguarding children? *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5How many stars would you give this employee for their commitment to continuing professional development? *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5How many stars would you give this employee for their support of colleagues and their contribution to the wider team effort? *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5How many stars would you give this employee for managing a heavy workload and prioritsing tasks? *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5How many stars would you give this employee overall? *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Name one quality that this applicant has that would make them an asset to the childcare workforce. *Use this field to elaborate further on the skills and qualities the candidate brought to your organisation. *Lastly, would you re-hire this applicant if a position became available at your company? *Absolutely!Absolutely Not!With additional training and development we would consider it.Submit