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Applicant Name
Please Confirm Job Start Date
Please Confirm Job End Date
Are there any current warnings on the applicant’s record
Is the applicant currently under investigation for any matter (including conduct, capability or performance) under any of your employment policies
Do you have any concerns regarding the individual’s competencies and performance during their employment with you
Please indicate the level of DBS check undertaken
Did the check return any information that required further investigation
Are you aware of any recent/outstanding allegations that were made against the applicant that relate to any safeguarding issues/referrals (including any referrals to the Disclosure and Barring Service or Independent Safeguarding Authority)?
REFEREE NAME
Referee Email