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WSCC Reference Form

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1.

Unique employee number: *

* required

Maximum 255 characters

0/255

This has been provided to you via email.

2.

Employee's Full Name: *

* required

Maximum 255 characters

0/255

3.

In what capacity are you providing this reference? *

* required

4.

Name of Organisation/Employer *

* required

Maximum 255 characters

0/255

5.

Start Date of Employment *

* required

6.

End Date of Employment *

* required

If they haven't left your employment yet, please provide an approximate end date.

7.

Employee's Job Title *

* required

Maximum 255 characters

0/255

If the candidate has had multiple job titles, please include the most recent one.

8.

Reason for Leaving *

* required

Maximum 255 characters

0/255

9.

Would you re-employ this person in the same or similar capacity in the future? *

* required

10.

Is this candidate currently going through a formal process, i.e. performance management/ disciplinary? *

* required

11.

Have there been any performance, conduct or attendance concerns? *

* required