Reference Request Form – Linkgate Healthcare Ltd

Reference Request Form (#7)

Obtaining references is a crucial part of our recruitment and selection procedure therefore, we would be grateful if you could complete the following questions relating to their performance.

The law allows us to use the Personal Information as set out in our privacy policy which can be found on Linkgates' Healthcare Ltd website on the basis that the processing is necessary for the performance of a contract with our candidate or client, or we are acting in our “legitimate interests”, for example, for the purposes of effective business management or we have a legal obligation to do so.

First Name

Last Name

Does your company policy allow to give detailed references?

Period of employment

Employment Start Date

Employment End Date

What was their job title?

Has the applicant ever been the subject of a disciplinary investigation/hearing?

Please provide reason below

Please feel free to add any additional comments you deem relevant

Exit

Reason For Leaving

Would you remploy this person

If no, please detail reasons

Referees Details

Full Name

Company Name

Phone

Position

If this is not a work/business email address, in order to verify this employment reference please can you email a form of business ID, this can be a compliment slip, business card, letterhead etc.

File formats: PDF, DOC, DOCX, JPG, JPEG / Maximum file size: 5 MB / Maximum number of files up to 5 Files

By Signing below I confirm that I am the named referee and that the above information is correct to the best of my knowledge.

Signed

Date