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Northern Ireland's Leading Health & Social Care Organisation
Reference Request
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Employment
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Position Held:
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DD slash MM slash YYYY
To:
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Reason for Leaving:
Is there any disciplinary action still live with this person?
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Would you re-employ this person?
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If No, please explain why:
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Is/was this persons health generally satisfactory?
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Please give details of absences over the past 2 years?
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Please tick in your opinion the candidate's level of performance:
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Attitude towards management
Caring towards people irrespective of age, disabilty, sex, race or religion
Our staff are frequently placed in positions of trust and responsibility, for example handling cash, drugs or dealing with vulnerable people. Do you consider the candidate to be honest and trustworthy?
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Has this individual been previously referred to the Independent Safeguarding Authority (ISA) as a result of misconduct involving either a child or vulnerable adult?
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