Reference Request Form

Thank you for visiting this page. If you have reached here you have been nominated as a referee for a candidate who has applied for a position with Kirby Browne.

Please answer this short reference request form. It shouldn't take more than 10 minutes to complete.

Please be as honest and truthful as possible. We don't share this information with the candidate and all the information shared on this form is considered strictly confidential and is only used by the HR department when making recruiting decisions.

If you have any issues completing the form please email careers@kirbybrowne.com or call 0772413346.

Many thanks!

Applicant

Name of Applicant(Required)

First Last

Position applied for(Required)

Your Details

Your Name(Required)

First Last

Phone we can contact you on(Required)

Should we require more in-depth information we may contact you

Contact Email(Required)

Should we require more in-depth information we may contact you

Company / Institution where you work(Required)

Position / Occupation(Required)

Relationship to Applicant(Required)

Other relationship type(Required)

Candidate's reference information

Position / Title when employed at your company / institution(Required)

Start Date(Required)

If you aren't sure put an approximate date

Finish Date(Required)

If you aren't sure put an approximate date

Nature of work, specific duties and responsibilities(Required)

Reason for candidate leaving(Required)

Would you re-employ the candidate?(Required)

Yes

Other reason for leaving employment(Required)

Why was the candidate dismissed?(Required)

Why wouldn't you re-employ the candidate?(Required)

Please rate the candidate on the following criteria(Required)

Do you have anything to add to your reference?

(Optional) If you would like to add anything relevant please add it here