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Responsive-Care
Excellent Service, Timely Response
Nottingham Telephone
0115 822 5801
Nottingham Mobile
07888 274 580
London Telephone
020 4524 0368
London Mobile
07888 274 630
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Complex care
Services
Home care
Live in care
Supported living
Transition care
Learning disability
Sensory impairment
Our offices
Nottingham
London
About us
Our mission
Our values
Our vision
Join our team
Arrange care
Contact us
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Complex care
Services
Home care
Live in care
Supported living
Transition care
Learning disability
Sensory impairment
Our offices
Nottingham
London
About us
Our mission
Our values
Our vision
Join our team
Arrange care
Contact us
Reference Request
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Reference Request
Step
1
of
6
- Applicants Details
16%
Applicant Name
*
Job title whilst employed with you
*
Referee
Full Name
*
Email address
*
Type of reference?
*
Personal reference
Work reference
Personal reference
*
Company Details
Company Name
*
Address
*
Street Address
Postcode
Still employed?
*
Yes
No
Start Date
*
DD slash MM slash YYYY
End Date
*
DD slash MM slash YYYY
Reason for Leaving
*
Please now rate specific area for this person's work performance
Reliability + Punctuality
*
Unsatisfactory
Satisfactory
Good
Very Good
Excellent
Honesty + Integrity
*
Unsatisfactory
Satisfactory
Good
Very Good
Excellent
Standard of work
*
Unsatisfactory
Satisfactory
Good
Very Good
Excellent
Ability to work with others
*
Unsatisfactory
Satisfactory
Good
Very Good
Excellent
Ability to follow instructions
*
Unsatisfactory
Satisfactory
Good
Very Good
Excellent
Is this person part of any current disciplinary procedure or investigation?
*
Yes
No
Subject to company policy would you re-employ this individual?
*
Yes
No
If not why not?
Do you have any other comments that might assist us when assigning this person?
Do you know of any reason why this applicant would not be suitable to work or have contact with vulnerable people, including children, within a care organisation?
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