Reference Request

The applicant we have contacted you about has applied to Pride Healthcare to be supplied as a healthcare support worker and has provided your name as a referee.

We would be very grateful if you would complete the questions on this page regarding this applicant, and provide, in confidence, any additional information which might impact on the applicant’s suitability for the position applied for.

Thank you for your kind cooperation.

Reference Request
Use today's date if still employed

Sickness and Absence

During the candidate's last 12 months of employment, please let us know how many days sickness and unplanned absence they have had, and on how many occasions.

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Disciplinary

Is there any evidence of any disciplinary action taken by the company against the candidate on their record? Please provide details.

Any previous disciplinary action? *

Other Information

To the best of your knowledge, is there any reason this candidate would not be suitable to be supporting vulnerable people in the community?

To the best of your knowledge, is there any reason this candidate would not be suitable to be supporting vulnerable people in the community? *

Are you happy for Pride Healthcare Ltd to share the contents of the reference with the named candidate if required?

Happy to share with candidate? *

Reference Request completed by:

We often check the references we have received with the organisation to ensure it is genuine. Please provide us with your details below.