Skip to content
Home
Services
About us
Request Assessment
Our Carers
Join us
Contact Us
09:00 - 17:00
0126 890 6060
Email Timesheet here
Enter details and email timesheet.
Please specify the office/area this reference is for:
*
No selection
Essex
Surrey
Hornchurch
St Helens
Name of the person you have been asked to provide a reference for:
*
What was the role that the applicant worked?
*
How long have you known the applicant? (Years)
When was the applicant employed?
*
MM slash DD slash YYYY
Is the applicant still employed?
*
Yes
No
In your opinion, do you believe that the candidate meets the following criteria:
Trustworthy:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Caring:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Self-motivated:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Conscientious:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Be able to work alone and unsupervised:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Punctual:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Reliable:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Engages with training needs:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Engages with management instructions:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Able to work as part of a team:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Enthusiastic towards duties:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Empathetic with clients:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Ability to display patience:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Has a range of effective communication skills:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Be able to motivate service users to participate in a variety of activities:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Be confident when faced with potentially challenging situations:
*
No/Rarely
Sometimes
Usually
Always
Unable to comment
Good organisational skills:
*
No/Rarely
Sometimes
Usually
Always
Experience working in adult social care:
*
Yes
No
Unable to comment
Please tell us about the applicant's experience in adult social care if you are able to do so:
Please answer the following questions about the candidate's employment:
During their employment, did you/the company ever have cause to discipline the applicant?
*
Yes
No
What was the cause of the disciplinary action taken?
How many days was the applicant sick / absent during their last 2 years of employment?
*
Why did the employee leave your organisation?
*
Would you re-employ the applicant?
*
Yes
No
Why wouldn't you re-employ the applicant?
Do you consider the applicant suitable to be employed working with vulnerable people?
*
Yes
No
Why do you consider the applicant unsuitable for work involving vulnerable people?
Please add any additional information that you wish to add to this reference:
Please confirm your details
What is your name?
*
What is your company's name?
*
What is your position within your company?
*
Contact number:
*
Email address:
*
Home
Services
About us
Request Assessment
Our Carers
Join us
Contact Us