Global Care - Healthcare Reference Request
Global Care - Healthcare Reference Request
Candidate’s Full Name
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Role Applied For
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Healthcare Assistant
Support Worker
Nurse
Other
Referee’s Full Name
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Organisation & Job Title
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Contact Email
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Contact Number
Relationship to Candidate
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Rate the candidate: Reliability & Punctuality
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Rate the candidate: Reliability & Punctuality
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Rate the candidate: Communication Skills
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Rate the candidate: Communication Skills
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5
Rate the candidate: Teamwork
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Rate the candidate: Teamwork
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5
Rate the candidate: Ability to Follow Instructions
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Rate the candidate: Ability to Follow Instructions
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5
Rate the candidate: Professional Conduct
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Rate the candidate: Professional Conduct
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Rate the candidate: Compassion & Empathy with Service Users
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Rate the candidate: Compassion & Empathy with Service Users
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Candidate’s Strengths
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Areas for Improvement
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Would you re-employ or recommend this person for a healthcare role?
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Yes
No
With Reservations
If you answered “No” or “With reservations,” please explain.
To your knowledge, has the candidate ever been subject to disciplinary action?
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Yes
No
Are you aware of any reason why the candidate should not work with vulnerable people?
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Yes
No
Additional comments
I confirm that the information I have provided is accurate to the best of my knowledge.
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I confirm that the information I have provided is accurate to the best of my knowledge.
I agree
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