Please add your employment history to the boxes below starting with your current or most recent first. Please ensure that you include an email address or contact number of the person or department supplying the reference.Name of Applicant*Date DD slash MM slash YYYY Date Of Birth*National Insurance Number*Employment HistoryCurrent EmploymentCompany name and address*Name of manager or department*Employment date: From*Employment date: To*Email Address*Phone NumberCan we request a reference?* Yes No Most Recent EmploymentCompany name and address*Name of manager or department*Employment date: From*Employment date: To*Email Address*Phone NumberCan we request a reference?* Yes No Previous EmploymentCompany name and addressName of manager or departmentEmployment date: FromEmployment date: ToEmail AddressPhone NumberCan we request a reference? Yes No Company name and addressName of manager or departmentEmployment date: FromEmployment date: ToEmail AddressPhone NumberCan we request a reference? Yes No Company name and addressName of manager or departmentEmployment date: FromEmployment date: ToEmail AddressPhone NumberCan we request a reference? Yes No Character Reference DetailsCharacter Reference Name*A character reference can be given by someone who has known you a minimum of 5 years and is not a family member or close friend Relationship to a candidate*Email Address*Phone NumberCan we request a reference?* Yes No
