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In writing your reference, please note that, in order to protect children, the post for which this application has been made is exempt from section
4(2) of the Rehabilitation of Offenders Act 1974 (Exemptions) (Amendment) Order 1986. Therefore, please notify us of any information you may
have concerning convictions/bindovers/cautions which would otherwise be considered as ‘spent’ and which you consider relevant to the
applicants suitability for employment. Any such information will be kept in strict confidence and used only in consideration of his/her suitability
by our agency.
In what capacity do you know the above named applicant?
How long have you known the applicant?
What dates did the applicant work with you (from and to)
Please rate the qualities of the candidate by ticking the appropriate boxes:
Excellent
Very Good
Good
Satisfactory
Below
Satisfactory
Comments
Their Classroom Control & Discipline
Their Teaching Ability
Their Relationship with Pupils
Their Relationship with Staff
Their Timekeeping /Punctuality
Their Subject Knowledge
Their communication skills
Is it suitable for this applicant to work with children?
Yes
No
Would you recommend this person for a contract position?
Yes
No
Would you recommend this person for a permanent position?
Yes
No
With a view to safeguarding children through safer recruitment practices, if you have answered NO to any of the above questions, please
provide further details:
Please feel free to provide any additional comments that will aid our decision to place this candidate into a position of responsibility:
Form completed by:
Position:
School:
Date:
Signed:
Please tick here if you would prefer us not to share this information confidentially with schools interested in recruiting this applicant.
Please tick here if you would prefer us to not share this information confidentially with a third party.
Please return this reference to education@athona.com or print this form off and fax back to 01277 245841.
Reference Request For:
School stamp (if applicable):
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Completed 6 May 2021

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