Barnsley FC Community Trust

PERSON REFERENCING

Applicants Name (required)

YOUR DETAILS

Your Name (required)

Your Company Name (required)

Your Job Title (please give this, even if the reference you are giving is a Non-Employment Reference) (required)

SECTION 1 – EMPLOYMENT RECORD

Employment Referees: if the above named person has been employed by you, please complete Sections 1 and 3.

Non-Employment Referees: If the above named person has named you as their referee in a personal capacity please complete Sections 2 and 3.

Their Job Title (required)

Date From (required)

Date To (required)

Current or Final Salary (required)

In what capacity have you known this individual and/or worked with them and for how long? * (required)

Details of any current/live disciplinary proceedings/sanctions * (required)

Details of any disciplinary proceedings/investigations where the employee has resigned before completion of the process (required)

If the individual is currently employed with children, or vulnerable adults on either a paid or a voluntary basis, or has been in the past, detail all allegations and/or sanctions (including unsubstantiated allegations), including those that are time expired. False and malicious allegations should not be included (required)

Where relevant, please detail any referrals to the Protection of Children Act 1999, the Protection of Vulnerable Adults (where applicable) and/or the DFE Children’s Safeguarding Operations Unit of any allegations or concerns that have been raised that relate to children, young people or vulnerable adults. Please give the outcome of any referrals or allegations (required)

SECTION 2 NON-EMPLOYERS (FOR A NON EMPLOYMENT REFERENCE)

How long have you known this person? (required)

What is your relationship to the person? (required)

SECTION 3 – SUITABILITY FOR THE POST APPLIED FOR

Relevant Eperience (required)

—Please choose an option—ExcellentGoodAveragePoor

Education and Training (required)

—Please choose an option—ExcellentGoodAveragePoor

Special Knowledge and Skills (required)

—Please choose an option—ExcellentGoodAveragePoor

Relationship with Others (required)

—Please choose an option—ExcellentGoodAveragePoor

Ability to organise and prioritise work (required)

—Please choose an option—ExcellentGoodAveragePoor

Communication – Written (required)

—Please choose an option—ExcellentGoodAveragePoor

Communication – verbal (required)

—Please choose an option—ExcellentGoodAveragePoor

reliabillity (required)

—Please choose an option—ExcellentGoodAveragePoor

punctuallity (required)

—Please choose an option—ExcellentGoodAveragePoor

Any other comments relevant to the application

OVERALL ABILITY

Are you satisfied that the person has the ability and is suitable to under take the post?
YesNo

If ‘No’, please give details of your specific concerns and the reasons why you believe the person might be unsuitable

SUITABILITY

Are you completely satisfied that this person is suitable for working with children and/or vulnerable adults (required)

YesNo

If ‘No’, please give details of your specific concerns and the reasons why you believe the person might be unsuitable

Will the individual receive a copy of this reference from you or will they be made aware of its content?

YesNo

If NO would you have any objection if its contents (if appropriate to the job) are raised during the interview?

YesNo

This reference is given on the understanding that RITC and the author of the reference do not have any legal responsibility or liability to the subject of the reference or the organisation requesting the reference as regards the accuracy or inaccuracy of any information given.

Signed (Name) (required)

Date (required)

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