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REFERENCE FORM
ABOUT THE APPLICANT
Applicant Name
Job Title
Date of Employment From
Subjects Taught & Level
Date of Employment To
PLEASE SELECT OPTIONS:
Subject Knowledge
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Time Management Skills
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Behaviour Management Skills
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Reliability
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Knowledge of the National Curriculum
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Organisation Skills
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Ability to work under own initiative
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Relationship with pupils
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Assessment and Record Keeping
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Communication skills
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Punctuality and time keeping
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Relationship with colleagues
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Have there been any child protection issues, concerns or allegations, whether investigated or not whilst the applicant has been employed in your organisation?
YES
NO
If YES please provide details including the outcome where an investigation has been conducted:
Are you aware of any reason why the applicant may not be a suitable candidate to work in a child centred environment or school?
YES
NO
If YES please provide details including the outcome where an investigation has been conducted:
Would you re-employ this candidate?
YES
NO
Would you recommend this candidate?
YES
NO
Additional Comments
ABOUT THE REFEREE
Name of Referee
Direct Number
School
Date of Form Completion
Position
By ticking this box I am signing a declaration of all answers on this form to be correct.
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