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Reference form
Full name
Providing reference for
Relation to applicant
Company
Phone
Email
Association with applicant
How long have you known the applicant?
In what setting have you observed the applicants childcare skills?
Childcare experience
The childcare position was:
Full time
Part time
Occational
The applicants level of responsibility was:
Full responsibility
Helper
The childcare was during:
The day
Evenings
Weekends
Overnight
The title of the applicants position
Start date of this position
How long did the applicant have this role? (if ongoing please say)
What was the age range the applicant provided care for?
Please describe in detail some of the applicants responsibilities and duties
How well does the applicant meet the critera for 'babysitter' and why?
To your knowledge, is there any reason the applicant should NOT work with children?
Yes (Please specify why in box)
No
If answered yes, please specify why
Any other comments?
I can confirm to my knowledge all the information provided is correct
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