Name Surname
Accreditation and/or Position
Our Ref: XX/XXX/X00 00 00/00
Name
Address
Date
The Old Schools
Trinity Lane
CB2 1TT
Tel: +44 (0) 1223 337733 / Tel: +44 (0) 1223 339396
Fax: +44 (0) 1223 337733 / Fax: +44 (0) 1223 764062
Email: / Email:
/

PRIVATE AND CONFIDENTIAL

Dear Name of Referee

Reference Request for Applicant's name

Applicant's namehas applied to the University for the position of Name of postand has given your name as someone whom we can approach for a reference.

I should be very grateful if you would complete the attached reference request form and return it to me by Date for receipt of references. I have enclosed details of the positionto assist you.

Before completing the enclosed Reference Request Form, please read the note on data protection at the end of the documentwhich explains the right of access to personalinformation.

Thank you in advance for your assistance in this matter.

Yours sincerely

Name

Post

(Address etc.)-

UNIVERSITY OF CAMBRIDGE

REFERENCE REQUEST PROFORMA

Reference supplied for:
Application for position of:
In what capacity is the above named known to you?
How long have you employed/known them? / From:
To:
What was her/his reason for leaving (if applicable)?
Please give a brief outline of applicant’s main duties and responsibilities in the role known to you
Please outline any notable achievements of the applicant whilst in the role known to you
Are there any features of this University position which, in your view, the applicant would find difficult or for which s/he would require training?

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UNIVERSITY OF CAMBRIDGE

REFERENCE REQUEST PROFORMA (continued)

Reference supplied for:
What is your assessment of the applicant’s: (Please tick as appropriate)
Excellent / Good / Satisfactory / Poor
Quality of work
Quantity of work
Reliability
Communication skills
Relationships with others
Ability to work without close supervision
IT skills (if relevant)
Please provide any additional comments regarding your answers above or any further informationyou have about the applicant’s suitability for this position.
Has the applicant been subject to any disciplinary action in the last twelve months? / YES/NO
(Please delete as appropriate)
If YES, please provide details
Would you re-employ her/him? If NO, please give reason / YES/NO
(Please delete as appropriate)
Signature / Print Name
Position / Date

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Confidentiality and your reference
The University will treat your reference securely and in confidence. However, please be aware that, under the terms of data protection legislation, the applicant you are writing about would normally be granted access to your reference in either anonymised or identifiable form if they request it. If there are compelling reasons for protecting your identity and/or the content of your reference, please let us know when you return this reference. Any applicant who is refused access to their reference by the University may appeal this decision to the Information Commissioner’s Office or a court, and the University may be ordered to disclose it.

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