Character reference form

Name of the applicant

First Name

Last Name

The position they're applying for

Please rate the applicant’s personal skills and character below.

Dignity and respect

Compassion, empathy and ability to empower others

Motivation, commitment and attitude

Learning and development interest

Team working ability

Quality and safety

Education and qualifications

Ability to deal with conflict

Communication skills

Overall contribution as a member of staff

Are you aware of any allegations or concerns that have been raised (whether formal or informal) about the candidate that relate to any safeguarding issues or the candidate’s behaviour towards adults and children at risk?

Please provide as much information as possible below.

How long have you known the candidate and in what capacity?

Please state here your views on the person’s ability to work in this role and detail why.

I confirm that the information provided is accurate and a true reflection of the candidate.

Your signature ⤵

First Name

Last Name

Date signed