Reference Request Form | Character Reference

Thanks once again for offering to complete a reference for this candidate. References are invaluable in assisting with candidates progressing throughout their career and invaluable for organisations like ourselves in gaining a better understanding of our future potential team member or student.

Guidance Information

We appreciate your willingness to support this candidate by providing a character reference. Your insights and observations are invaluable in helping us assess the suitability of individuals for various roles within our organisation. A character reference gives us a better understanding of a candidate's personal qualities, integrity, and overall suitability. This information is crucial as we strive to build a team of dedicated, reliable, and compassionate individuals who align with our values and mission.

Please complete the form below with as much detail as possible. Your honest and thoughtful feedback will greatly assist us in our selection process. If you have any questions or need further assistance, do not hesitate to contact us.

Privacy Statement: The Mental Health Hub is dedicated to safeguarding your privacy and the privacy of the candidate. All information provided in this form will be used exclusively to assess the suitability of the candidate for whom you are providing a reference. The details entered on this form will be treated with the utmost confidentiality and will not be disclosed to the candidate. We assume full responsibility for hiring decisions and will not transfer this responsibility to any organisation or individual who has generously provided a reference.

Reasonable Adjustments: If you'd prefer to arrange a call or meeting to discuss instead, or if there are any reasonable adjustments you'd like us to know about or make to the reference template such as sending it in an alternative format, please let us know.

Crucial Note: Any omissions in references or delays in their submission may influence the candidate's overall application status and their potential for acceptance into our organisation or placement.

Reference Form

REFEREE INFORMATION

Your Full Name

First Name

Last Name

What is your relationship to the candidate?

Contact Email

Please input the best email address for contacting yourself about this reference.

Phone Number

Please input the best telephone number for contacting yourself about this reference.

Country

(###)

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CANDIDATES INFORMATION

How do you know this candidate?

How long have you known this person?

What dates did they work, volunteer or study with you?

Please include the month and year. If they didn't work, study or volunteer with you please put down the date that you met them.

REFERENCE QUESTIONS

How would you describe their performance in the role?

If they were students or on a placement / internship with you, please rate their academic, interning or placement related performance.

How reliable are they?

LEAVING ROOM FOR GROWTH

Improvement in various personal, academic, and professional skills is essential for staff, volunteers, and students to excel in their respective roles. What areas do you think they might need additional support in or require further development? If you could provide more information on your selection in the additional information section that would be appreciated.

Select as many as apply

Select all the areas you think this candidate could use more support in and requires more growth in.

I'm not sure

Personal development: Eg. time management, stress management, emotional intelligence, resilience, adaptability, conflict resolution, self-care practices, work-life balance, interpersonal communication, confidence, self-esteem, critical thinking, and problem-solving.

Academic development: Eg. research skills, academic writing, study techniques, presentation skills, analytical thinking, understanding and applying theoretical concepts, note-taking, information retention, engagement in academic discussions, project management, and collaboration in group work.

Professional development: Eg. improving technical proficiency, leadership and management, project management, client relationship management, professional writing and communication, public speaking, negotiation, persuasion, ethical decision-making, networking, and cultural competency. Specifically in the mental health sector, skills such as clinical assessment, diagnosis, therapeutic techniques, case management, crisis intervention, telehealth delivery, confidentiality, ethical practice, evidence-based practice, supervision, mentoring, policy adherence, and client advocacy are things we'd like to hear more about.

Volunteering specific development: Eg. understanding their roles and responsibilities, engaging with the community, fundraising, event planning, team collaboration, adaptability, motivational skills, basic administrative skills, outreach, education, sensitivity to client needs, and record keeping.

Students, placement or internship specific development: Eg. transitioning academic learning to practical application, professional conduct, resume and cover letter writing, interview preparation, job search strategies, professional networking, internship and placement readiness, receiving and incorporating feedback, career planning, and building a professional presence.

ADDITIONAL INFORMATION

Please use this section here to tell us any additional information you think is relevant or to expand on your selection/answer to a previous question.

Declaration & Submission

I am happy to be contacted about this reference if further information is required

Yes

I hereby declare that the information provided is true and accurate to the best of my knowledge. I understand that providing false or deliberately misleading information may result in the rejection of this candidates application or termination of their employment if discovered at a later date.

Please tick below to indicate that you agree with the statement.

I agree