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Assignment Review




  






How long did the applicant work for you/with you or under your supervision and in what capacity / specialist area?






Please state the nature and depth of your acquaintance to the named applicant?

Do you consider the applicant to be honest, conscientious and discreet? If not, please provide further details below.

 

Please select from the choices and provide additional comments in support of the statements made. We have pre-selected for your convenience but please change as appropriate.

 











 
Additional comments in support of the statements made above:
Do you permit us to discuss this reference with the applicant/client?









Please be sure we have your correct email address in the field above.  Thank you.


Note for Managers:

Thank you for taking the time to complete our Assignment Review. Any such information will be kept in strict confidence. Please also note that by completing this reference you grant us permission to present this assignment review to all clients that request a copy in order to determine applicants’ suitability for each assignment or placement. You also grant permission for this form to be examined by the CQC and the NHS Buying Solutions for auditing purposes.

Thank you in anticipation for completing this form.

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