Reference Request Please enable JavaScript in your browser to complete this form.Name of applicant Your name *FirstLastYour organisation *Your position in the organisation *Your email *Your telephone number Please complete the questions below or you can also upload your own written reference here Click or drag a file to this area to upload. In what capacity do you know the applicant? *Dates the applicant worked for your organisation *What was the applicant's role?Reason for leaving? *Please add any further details that may be relevant here. Were there any safeguarding issues? *YesNoWas the applicant subject to any formal disciplinary action? *YesNoWould you employ the applicant again? *YesNoIf no, please give detailsPlease tick if you consentI am happy for these comments to be shared with the applicantI am happy for these comments to be shared with Bamberry’s clientsSignature Date *Submit