To Whom It May Concern

As an organisation we understand the importance of accurate and verified Employment History and Reference Checks. Our Agency conducts all its checks in accordance with NHS Employers Guidelines and Framework requirements.

Your name has been provided by our applicant, who has applied to our agency to be supplied as a locum in the position identified below. We would be grateful if you would respond to the following questions regarding this applicant and provide in confidence any information in which you are able to/aware regarding his/her character and suitability to perform the role and associated duties of the position applied for.

Under the Data Protection Act (1998), applicants have the right to see any references received by us concerning them, (although we maintain the right to protect the identity of the author) therefore please ensure the reference is not only factually accurate but also fair and not misleading in the overall impression it gives.

Please do not hesitate to contact our compliance team if you have any further questions.

Kind Regards

The Compliance Team

Agency Candidate Reference Form
Start Date
End Date
Address
Hospital or Organisation Name
Address
City/Town
County
Post Code
Country
CANNOT BE A PERSONAL EMAIL ADDRESS
Must be a number we can contact you on