Employment Reference Request Form Please enable JavaScript in your browser to complete this form.The applicant has asked us to help search for a new role within the household staffing industry. As a professional recruiter we always wish to take up employment references and request your feedback with regards to their performance in your employment. We would be grateful if you could comment on their suitability for the position. Any information provided will remain confidential. If you prefer to send or confirm a previously written reference for this applicant, please attach it and return to us at [email protected] We have specialised in the recruitment and placement of high calibre household, childcare and education staff worldwide since 2003, and work to the highest of standards. My NamePositionI am providing a reference forDoes/did the applicant work for your Company or Household?YesNoIf Yes, please give the applicant’s starting and leaving dates (if applicable)Start DateEnter Start DateLeaving DateEnter Leave DateWhat is/was the applicant’s job title within your Household or Company?What are/were the applicant’s main duties?What is your assessment of the following elements in relation to the applicant?Quality of work overallExcellentGoodFairPoorTimekeeping / AttendanceExcellentGoodFairPoorDedication to the jobExcellentGoodFairPoorAbility to work without supervisionExcellentGoodFairPoorWorking relationships with other staffExcellentGoodFairPoorHonesty and IntegrityExcellentGoodFairPoorDo you have any further comments?Should you be interested in receiving information regarding our services please advise below or email [email protected] with your requirements, and quote Ref20 for 20% discount on your first placement fee.Yes, please contact me regarding staffFull Name *FirstLastDateRoleEmail *Company/Household *Any information provided will be treated in the strictest confidence. Thank you for your assistance.Submit