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Reference Check

Your details

First Name*
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Field is required!
Last Name*
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Field is required!
Email*
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Field is required!
Phone Number*
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Field is required!

Who are you doing a reference for?

First Name*
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Field is required!
Last Name*
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Field is required!

Reference

Are you a relative, friend or colleague?*
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Field is required!
Describe your relationship:*
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Field is required!
How did you initially meet them?*
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Field is required!
When did they start and finish working for/with you?*
MM/YYYY to MM/YYYY (Limit of 200 characters)
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Field is required!
What was the youngest child's age when they started working for/with you?*
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Field is required!
What were their responsibilities whilst they worked for/with you?*
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Field is required!
Did they have sole or shared care? Please describe the blend of care:*
Sole means they were responsible for looking after children by themselves. (Limit of 200 characters)
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Field is required!
Describe their punctuality or lack there of:*
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Field is required!
Describe how you perceive their honesty and integrity:*
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Describe their communication skills:*
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Describe how they respond to feedback and direction:*
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Was there ever a complaint about their performance, safety or behavior? (*If so please explain):*
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Describe a time when they have impressed you:*
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Describe their strengths and weaknesses:*
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Why did they leave your employment?*
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Would you employ them/work with them again?*
Limit of 200 characters
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Field is required!
Would you recommend them to work with families in private homes?*
Limit of 200 characters
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Field is required!
I confirm that all information provided within this reference check is true, and that I am happy to be contacted by ALHCA if they require any further information!
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Field is required!