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Reference Request

A job applicant to Riverside School has provided your name as a reference. We would be grateful if you could please complete and return this form adding any additional information that you feel is relevant at the end.

We use the information provided in this document for the sole purpose of safer recruitment and any information provided will be held securely.

Have you or your colleagues ever had cause for disquiet about this person's behaviour or judgement?*

Riverside School is committed to safeguarding and promoting the welfare of children and young people and expects all staff to share this commitment. In view of this, please could you complete the following:

Has the applicant been subject to any disciplinary offences relating to children, including any for which the penalty time has expired?*
Has the applicant been subject to any allegations or concerns related to the safety and welfare of children?*
Are you satisfied that the applicant is suitable to work with children?*
Would you re-employ the applicant?*
Please confirm whether you are happy for this candidate to see a copy of this reference or to otherwise know of its contents*

Please note that it is the policy of this school, that individuals should have the right to access any personal information held on them. This includes references provided for employment purposes which will be made available to applicants upon request unless such access is refused by you at the time of writing.

By ticking Yes below, I am providing my electronic signature to confirm the information provided in this reference.*

Please type the letters and numbers displayed in the image into the textbox below to verify you wish to send this response. If you have difficulties reading the letters in the image below you can try a different image by clicking on it.

Verification Image