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Candidate Name (required):
Referee Name (required):
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Relationship to Candidate (required):
How long have you known the candidate?
In what capacity do you know the candidate?
Please confirm that you are not related to the candidate?
I am NOT relatedI am related
In your opinion, is the candidate suitable for the position?
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Are you aware of any safeguarding issues?
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In your opinion is the candidate suitable to work with children?
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Are you aware of any safeguarding issues involving this candidate?:
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In your opinion, is this candidate suitable to work with children?:
If no, please provide full details:
Please select below as appropriate (with 1 being poor and 5 being excellent):
Attendance:
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