Student Reference Form 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. Name of applicant * Name of College/University * Subject/Course Studied * Time spent at College/University * Name of Referee * Email Address of Referee * Did you find the individual to be honest and trustworthy? * Yes No Did you find the individual to be reliable? Yes No Relationship with Tutors/lecturers/Peers Please SelectExcellentGoodSatisfactoryUnsatisfactory Subject Knowledge Please SelectExcellentGoodSatisfactoryUnsatisfactory Timekeeping Please SelectExcellentGoodSatisfactoryUnsatisfactory Progress made by student Please SelectExcellentGoodSatisfactoryUnsatisfactory Final Grade * General Comments Are you aware of any issues with the applicant in relation to Safeguarding & Child Protection? Yes No If YES, please provide details Signature signature keyboard Clear Position * Date Are we able to disclose reference to the above named applicant Yes No Can this reference be given to the potential employer Yes No If you are human, leave this field blank. Submit
