REFERENCE REQUEST FORM
APPLICANT NAME
POST APPLIED FOR
NAME OF REFEREE Hedjazi Amira
Nursery Name Education Embassy
Referees are kindly asked to complete the following:
BACKGROUND DETAILS
The applicant’s period of working with you: From: To:
(10/09/2020) (DD/MM/2024)
What is your relationship to the applicant? Direct responsible
The applicant’s current job title:
Reasons for leaving: Found and discovered new opportunities
Details of any allegations or concerns that There have been no allegations or concerns raised about the
have been raised about the applicant that applicant regarding the safety and welfare of children or
relate to the safety and welfare of behaviors toward children.
children or behaviors towards children,
and the outcome of those concerns.
Yes, with pleasure
Would you re-employ the applicant?
ASSESSMENT OF APPLICANT FROM YOUR EXPERIENCE WITH HER WORK
Area Excellent Good Satisfactory Poor Not Known
Attendance & Punctuality √
Work ethics √
Honesty √
Flexibility √
Ability to engage with children √
Ability to care for children √
Planning and resourcefulness √
Cooperation with management √
initiatives
Showing initiative √
Relationships with parents √
Relationships with colleagues √
Leadership potential √
Receptivity professional development √
SPECIFIC QUESTIONS
Are you aware of
a) any reasons why the applicant may not be suitable for a post in a Nursery where she will come
into contact with children?
There are no reasons indicating that the applicant may be unsuitable for a post in a nursery where she will have contact with children.
b) any other reasons why the applicant should not be regarded as suitable for the post?
There are no additional reasons to suggest that the applicant should not be considered suitable for the post.
Please write a short statement giving your opinion of the applicant’s suitability or otherwise for this
post, giving some indications of strengths and weaknesses.
In my opinion, the applicant is well-suited for this post in a nursery setting. She demonstrates strong
interpersonal skills, a genuine interest in early childhood development, and a responsible approach to
safeguarding. Her positive demeanor and patience make her approachable and effective in engaging
with children. A potential area for growth could be in developing experience with a wider age range of
children or gaining further training in child behavior management. Overall, she shows the qualities
needed for a nurturing and safe environment, making her a good candidate for the role.
29 10 2024
SIGNED DATE
Hedjazi Amira
NAME
OFFICIAL STAMP
(Or please attach a
Direct Responsible compliments slip)
POSITION