Reference Request Form

The Grove Daycare Reference Request Form

    Referee Details

    (Person filling out this form)

    Candidate Details

    Date Employed From

    Date Employed To

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    Professional Knowledge Part 1

    For the next section, please select one option (outstanding / good/ satisfactory/inadequate) and state in the space provided.
    If you have selected inadequate, please explain your reasons why.

    Relationships with Children

    Relationships with Staff

    Working in Partnership with Parents

    Quality of Child Observations and Reports

    Knowledge of EYFS Framework

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    Professional Knowledge Part 2

    Knowledge & Practice of Safeguarding Children

    Time Keeping

    Sickness & Absence

    Demonstrating Good Practice of Nursery Policies & Procedures

    Attitude Towards Learning & Growing Professional

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    Professional Knowledge Part 3

    Would You Re-Employ This Candidate

    Are There Any Current Disciplinary Sanctions Against this Candidate

    Has the Candidate ever been the Subject of Any Child Safeguarding Allegations or Concerns

    Do You Consider The Candidate a Suitable Person to Work with Children

    Key Achievements & Other Comments

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    Confirmation

    I understand that:
    a) I have a responsibility to ensure that the reference is accurate and does not contain any misstatement or omission.
    b) The relevant factual content of the reference may be discussed or provided to the candidate when required by Data Protection Law.

    Date of Completion

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