Appendix F: Professional Reference Form

Applicant’s Name Name:

Post Applied For: Job Title:

 about the referee…

Name:

Employing Organisation:

Position in Organisation:
Length of
Relationship to Candidate:
relationship:

 about the applicant…

Position(s) held (with dates):

Dates of Employment: From: To:

No. days sick in last
Current / leaving salary:
year of employment:
Reason for leaving:

Please give details of any disciplinary action during employment:

Please give your comments on the applicant’s suitability against the following Person Specification
and Job Description criteria:

Continue on separate sheet if necessary

3
Any other relevant information you wish to provide:

 Child Safeguarding

This post involves access to children. As an organisation committed to the welfare of children, we
need to know if you have any reason at all to be concerned about this applicant being in contact with
children or young people: Yes No If ‘yes’ please provide details:

As part of War Child’s child safeguarding

TEL 1: ..................................................................
practices, which aim to safeguard children, we
will contact you for verification purposes. Please
TEL 2 : .................................................................
provide us with a telephone number:

Please affix employer’s official stamp in space below:

Signed: ...............................................................................................................

Date:......................................................................................................................

For speed of processing please return your completed reference by e-mail or fax in the first instance to:
sazano@warchild.org.uk

NB. Your reference must be supported by either your official company headed paper, or an official company
stamp.