References Please complete the forms below to give us details in the form below about the person you’re writing a reference for. Url Applicant’s Name * Referee’s Name * Your Relationship * Professional Non-Profesional If Professional, name of organisation * Dates of Employment From To Applicant’s job role Please refer to the job description and person specification and provide comment as to the suitability of this person to the post Please provide details, if applicable, of any disciplinary procedures that the candidate has been subject to involving issues related to the safety and welfare of children, young people or vulnerable adults including any in which the disciplinary sanction has expired. Are you, in your opinion, satisfied that the applicant is suitable to work with children, young people or vulnerable adults, if applicable? Yes No If NO, please provide specific details of your reasons/concerns as to why you believe this candidate is not suitable to work with children, young people or vulnerable adults. Decleration Name of Referee Telephone Email Date Completed If you’ve any questions then please get in touch 0207 9986 840 help@luu-bridgetshc.co.uk Suit 212, Island Business Centre, 18-36 Wellington Street, Woolwich, London, SE18 6PF