Reference Form
Thank you for your cooperation in completing this reference request. Your assistance is greatly appreciated.

Milcorp Consultancy Ltd operates a Quality Assurance Programme. We consistently aim to satisfy agreed customer requirements by supplying suitably qualified and skilled candidates. To ensure the accuracy of information supplied to us, we take up references on all our candidates, without exception.

May we take this opportunity of thanking you in anticipation of an early reply and your assistance in this matter.

Applicant's Details

Name

Address

Position Held

Salary

Employed

From

To

Nature of Duties

Quality of Work / Achievements

Reason for leaving

Would you re-employ?

Yes

No

Are you aware of any criminal convictions?

Yes

No

Is the candidate, as far as you know, entitled to work in the UK?

Yes

No

Is the candidate, as far as you know, in general good health?

Yes

No

Are there any further remarks you would like to make which would be of interest?

Yes

No

Do you object to this form being shown to potential employers or the above named person?

Yes

No

Reference Criteria

Excellent

Good

Average

Poor

Ability

Loyalty

Co-operation

Honesty

Reliability

Conduct

Time-keeping

Attendance

Referee's Details

Name

Company

Position

Email Address

Receive a copy via email

Yes

No