CHARACTER REFERENCE REQUEST FORM CHARACTER REFERENCE REQUEST FORM In writing your reference, please note that, in order to protect children, the post for which application is made is exempt from section 4(2) of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975. It is not, therefore, in any way contrary to the Act to reveal any information you may have concerning convictions/bindovers/cautions which would otherwise be considered as ‘spent’ in relation to this application and which you consider relevant to the applicants suitability for employment. Any such information will be kept in strict confidence and used only in consideration of his/her suitability. Candidate Details Applicant name: * How you know the applicant: * How long have you known the applicant (please state month and year from and to): * Did you find the applicant to be honest & trustworthy? * Yes No Did you find the applicant to be reliable? * Yes No Do you have any reason why the applicant shouldn’t work with children? * General comments: Referee Details: Your name: * Your job role: * Organisation name: * Email * Signature * signature keyboard Clear Date * Are we able to disclose this reference to potential employers? * Yes No Are we able to disclose this reference to the applicant? * Yes No If you are human, leave this field blank. Submit
