Supporting Statement (WEX)

Tutor/Placement Officer/Personal Referee - Supporting Statement

Welcome to tutors, placement officers and personal referees who are kindly completing a statement to support a candidate's application.

If you are undertaking a personal reference for a candidate, please note that you must not be related to the candidate and must have known them for a minimum period of one year.

Please take time to fully complete the questions below, providing as much detail as possible, to support your candidate's application for a work experience placement at the St Monica Trust.

Question Title

* 1. Please enter YOUR (Tutor/Placement Officer/Personal Referee) contact details below:

Name:

School/College/University/Company:

Address:

City/Town:

Post Code:

E-mail Address:

Telephone Number:

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* 2. Please enter the name of the candidate known to you, who you are completing this reference for:

Question Title

* 3. Please select the type of reference that you are completing:

Tutor/Placement Officer Supporting Statement

Personal Reference (non-relative)

Question Title

* 4. Please provide a supporting statement to confirm the candidate's suitability for a work experience placement at the St Monica Trust:

Question Title

* 5. Please provide answers to the following questions:

In what capacity is the applicant known to you?:

How long have you known the applicant?:

Do you think that the applicant has the right attributes to work within a social care organisation? If the answer is no, please provide your reasons:

Do you think that the applicant is a suitable candidate for a work experience placement? If the answer is no, please provide your reasons:

Please provide any other comments or information which may be of relevance in the context of this employment:

Question Title

* 6. Please rate the applicant within the following areas:

	Poor	Average	Good	Excellent
Ability to work as part of a team:	Ability to work as part of a team: Poor	Ability to work as part of a team: Average	Ability to work as part of a team: Good	Ability to work as part of a team: Excellent
Ability to take responsibility:	Ability to take responsibility: Poor	Ability to take responsibility: Average	Ability to take responsibility: Good	Ability to take responsibility: Excellent
Punctuality and reliability:	Punctuality and reliability: Poor	Punctuality and reliability: Average	Punctuality and reliability: Good	Punctuality and reliability: Excellent
Patience:	Patience: Poor	Patience: Average	Patience: Good	Patience: Excellent
General conduct:	General conduct: Poor	General conduct: Average	General conduct: Good	General conduct: Excellent
Honesty, trustworthiness and integrity:	Honesty, trustworthiness and integrity: Poor	Honesty, trustworthiness and integrity: Average	Honesty, trustworthiness and integrity: Good	Honesty, trustworthiness and integrity: Excellent

Following the submission of your supporting statement/personal reference, the candidate will be contacted to confirm receipt and to arrange a convenient date and time to attend an interview with our Work Placement Co-ordinator, Ella Britton.

We would like to thank you for kindly taking the time to complete a supporting statement/personal reference for the candidate's application and look forward to receiving your response.