Support Staff Reference Assessment Form Name of candidate(Required) First Last Name of organisation?(Required)Job Title(Required)Employed Start Date(Required) DD slash MM slash YYYY Employed End Date(Required) DD slash MM slash YYYY Reasons for Leaving(Required)Has the Candidate been subject of an investigation or disciplinary procedure that you are aware of?(Required) Yes No If yes, please can you give more details:Please tick relevant boxes(Required)N/AOutstandingGoodSatisfactoryUnsatisfactoryBasic AbilityCommunication skillsInteraction with ChildrenSupport provided to individualsAbility to respond to advice and feedbackConfidence in the classroomOrganisational skillsBehaviour managementRelationships with colleaguesAttendance and Time keepingReliabilityProfessionalismAppearanceFlexibility / AttitudeHonestyPlease state any further comments you would like to make regarding the candidate:Please provide further details on the candidate:Do you have any reason to suggest the candidate should not work with children?(Required) Yes No If yes, please can you give more details:Would you re-employ the candidate in a similar role? (If applicable) Yes No May this reference be passed on to a potential employer?(Required) Yes No Do you currently have a position you would like Step by Step to help your school recruit for?(Required) Yes No Please complete the signed declaration below:Referee Name(Required)PositionYour Email(Required) Signature(Required)
