Employer Reference Request

Please attach a company compliment slip to this reference, or use a company stamp to endorse your reply.

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Are you aware of any back or neck injuries or other medical conditions that may affect the applicant’s ability to do the work described?(Required)
Are there any disciplinaries in place or pending during last 12 months of employment?(Required)
HMS is exempt from the Rehabilitation of Offenders Act. Are you aware of any convictions (spent or otherwise) that the applicant may have?(Required)
Are you related in any way to the applicant?(Required)
Would you re-employ the applicant?(Required)

Please Select

Attendance(Required)
Experience(Required)
Flexibility(Required)
Honesty / integrity(Required)
Punctuality(Required)
Relationships with people they support(Required)
Relationships with staff / colleagues(Required)
Reliability(Required)
Name(Required)
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Accepted file types: jpg, pdf, doc, Max. file size: 32 MB.