📝Current/Most Recent Employer Reference Form

The individual named below has applied for a position with BrightPath Neuro and has listed you as a referee. We would be grateful if you could complete this reference to help us assess their suitability for the role. Your responses will be treated confidentially and in line with data protection laws. This reference forms part of our safer recruitment process.

👤Candidate Information (To be completed by the referee)

Candidate Full Name

The full legal name of the person applying to work at BrightPath Neuro.

Job Title Applied For (if known)

The title of the role the candidate is seeking at BrightPath (e.g., Mental Health Support Worker).

📌Referee Information (Person providing the reference)

Your Full Name

Your Job Title

Professional role within the organisation.

Organisation Name

A valid business email address for confirmation or follow-up.

Phone

A direct contact number in case clarification is needed.

Relationship to Candidate

E.g., “Line Manager,” “Supervisor,” “HR Officer.” This shows how closely the referee worked with the candidate.

📅Employment Details of the Candidate

Dates of Employment

Start and end dates of the candidate’s employment at the referee’s organisation. If still employed, note “to present.”

Job Title Held by the Candidate

The role the candidate held during their time at the referee’s organisation.

🧾Employment Overview and Role Insight

Please complete the following section to provide a detailed overview of the candidate’s previous employment with your organisation. This will help us understand their suitability for the role at BrightPath.

What was the candidate’s employment status?

What role did the candidate hold?

Please outline the key duties and responsibilities they performed

How would you describe the candidate’s overall job performance and work ethic?

How would you assess their professionalism, attitude, and conduct in the workplace?

Was the candidate generally punctual and reliable?

What was the reason for the candidate leaving (if known)?

Would you re-employ the candidate in a similar role?

If no or not sure, please provide brief context in the addtional comments box below

Additional Comments

⚠️Conduct, Safeguarding and Disciplinary Information

Was the candidate subject to any formal disciplinary action during their employment?

If yes, please provide brief details (optional)

Are you aware of any concerns relating to the candidate’s conduct, safeguarding, or professional boundaries that may affect their suitability to work in health, education, or social care?

If yes, please provide brief details or indicate “available on request"

🗣️Additional Comments

Please include any other information you feel is relevant to the candidate's application

✍️Declaration

I confirm that the information provided in this form is accurate and complete to the best of my knowledge. I understand this reference will be used for recruitment purposes only and will be handled in confidence by BrightPath

I Confirm

Referee Signature

Clear

Date