Confidential Reference Form

Confidential Reference Form

The following person ______________________________ expressed an interested in working with Garda Síochána Boat Club as (List Position) ___________________________________________________________________________

___________________________________________________________________________

If you are happy to complete this reference, any information will be treated with due confidentiality and in accordance with relevant legislation and guidance. Information will only be shared with the person conducting the assessment of the candidate’s suitability for the post, if he/she is offered the position. We appreciate you being extremely candid, open and honest in your evaluation.

1. How long have you know this person?

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. In what capacity?

3. What attributes does this person have that would make them suited to this work?

4. Please rate this person on the following-please tick one box for each statement:

Poor

Average

Good

Very Good

Excellent

Responsibilities

Maturity

Self-motivation

Can motivate others

Energy

Trustworthiness

Reliability

This post involves substantial access to young people. As an organisation committed to the welfare and protection of young people, we are anxious to know if you have any reason at all to be concerned about this applicant being in contact with children and young people.

Yes No

(If you have answered YES we will contact you in confidence)

Signed:_____________________________________________

Date:_______________________________________________

Position in organisation:______________________________________________________

Name of club / organisation:___________________________________________________