Reference Request






    GUILDFORD CITY REFERENCE REQUEST
    All sections to be completed by the Referee.


    A1. Name of Staff Member Applying for a post with Guildford City Swimming Club as shown in the covering email.

    Full Name

    A2. Job Title for this post will be stated in the covering email and a brief job description will be included

    Job Title ie. Teacher/Coach/Other (please state post)

    A3. How long have you known this person?

    A4. Are you related to this person?

    Please delete as appropriate: YesNo

    A5. In what capacity do you know this person?


    B1. Do they have the ability to work and form appropriate relationships with children?

    Please delete as appropriate: YesNoUnknown

    B2. If no or unknown, please give more information.

    B3. Are they able to stay calm with children and young people?

    Please delete as appropriate: YesNoUnknown

    B4. If no or unknown, please give more information.

    B5. Are they able to motivate children?

    Please delete as appropriate: YesNoUnknown

    B6. If no or unknown, please give more information.

    B7. Please comment on their Coaching skills if known?

    B8. Please comment on their administrative skills if known?

    B9. Are they Trustworthy?

    Please delete as appropriate: YesNoUnknown

    B10. If no or unknown, please give more information.

    B11. Are they reliable?

    Please delete as appropriate: YesNoUnknown

    B12. If no or unknown, please give more information.

    B13. Are they honest?

    Please delete as appropriate: YesNoUnknown

    B14. If no or unknown, please give more information.

    B15. Any other comments?

    B16. Are you currently involved in swimming or teaching of any sort and if so, in what capacity?

    B17. Disciplinary – To the best of your knowledge, has the Applicant ever been referred to, or are they the subject of a sanction, restriction or prohibition issued by any teaching body or any equivalent body in the UK or a regulator of the teaching or swimming profession in this or any other country?

    Please delete as appropriate: YesNo

    B18. If yes, please give more information.


    Please complete your details below:

    C1. Your Name

    C2. Your email address:

    C3. Your Postal Address

    C4. Telephone number(s)
    We may need to contact you by phone to check the reference, we would be grateful if you would let us have your telephone number.

    If you would prefer to talk to the HR Manager Janette Smith by Phone, please delete as appropriate.

    YesNo

    C5. SIGNED
    By typing your name, you are providing an electronic signature and confirming your identity as the person named above who has completed this form.

    C6. DATE

    Please prove you are human

    captcha

    This form will be sent direct to Janette Smith Human Resources Manager. We will then be in touch with further information.