Employment Reference Request

Reference Request
Employment
The named applicant has applied for a position as a security officer with Global Security, and had given us permission to approach you for a reference and confirmation of their employment dates.
Due to the nature of duties the named person will undertake, our company only contracts staff of the highest integrity. All staff are screened in accordance with the BS 7858:2012.
We may not be able to offer employment unless this reference is returned, therefore an early reply would be appreciated.
Please complete the questionnaire below:-
Thank you in anticipation of your co-operation in this matter. I assure you that your reply will be treated in strictest confidence.

EMPLOYMENT REFERENCE
Requested by: Global Security, Suite 95 Cassidy House, Station Road, Chester, CH1 3DW
1. Verification of Applicant
Name of Applicant you are providing a reference for
First NameLast Name
National Insurance Number
Date of Birth

2. Your details
Please provide the details of the person completing this reference for verification purposes
Company Name
Company Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Your Name
Email Address
example@example.com
Job Title
Contact Telehone Number
Area CodePhone Number

3. Reference Details
Please answer the questions below. Once answered, click the 'Submit' button at the bottom of the page.
I confirm that I'm authorised to provide a reference for my organisation
What dates was the applicant employed?
DayMonthYear
FROM
DayMonthYear
TO
Not Applicable
If the Applicant is still in your employment, please indicate below
Reason for leaving your company ?
Please provide details of the positions held?
Would you re-employ the applicant?
If you have answered no, please give your reason or reasons
Please provide any other information that you feel may be relevant to this application:
Should be Empty:

Reference Request