Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Applicant NameDate of EmploymentJob TitleCompany NameReason for leavingReasonEmploymentCharacterEducationalTeaching abilityExceptionalVery GoodAbove AverageSatisfactoryBelow AveragePlanning/PreparationExceptionalVery GoodAbove AverageSatisfactoryBelow AverageAbility to work without supervisionExceptionalVery GoodAbove AverageSatisfactoryBelow AverageProfessional conductExceptionalVery GoodAbove AverageSatisfactoryBelow AverageAppearanceExceptionalVery GoodAbove AverageSatisfactoryBelow AverageTimekeepingExceptionalVery GoodAbove AverageSatisfactoryBelow AverageRelations with other work colleaguesExceptionalVery GoodAbove AverageSatisfactoryBelow AverageRelations with clients, customers and suppliersExceptionalVery GoodAbove AverageSatisfactoryBelow AverageHas the candidate been involved in any safeguarding investigations or disciplinary concerns?YesNoIf yes, please specify the level of warning given and a summary of the offence committedAny other commentsWould you re-employ this person?YesNoIf no, why not?Name *Email *PositionCompanyDateSubmit