The Reference Consent Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, complete with customizable and printable versions.
Reference Consent Form Template UK Editable – PrintableSample
Reference Consent Form Template UK 1. Applicant Information 2. Reference Provider Information 3. Purpose of Reference 4. Reference Details 5. Consent Declaration 6. Data Protection and Privacy 7. Confirmation of Understanding 8. Signatures and Agreement
PDF
WORD
Examples
[Name of the Referee]
[Referee’s ID]
[Referee’s Address]
[Referee’s Phone]
[Referee’s Email]
[Name of the Candidate]
[Candidate’s ID]
[Candidate’s Address]
[Candidate’s Phone]
[Candidate’s Email]
This consent form is intended to obtain the approval of [Name of the Referee] to provide a reference for [Name of the Candidate] in relation to their application for [Position/Opportunity].
I, [Name of the Referee], hereby authorize [Name of the Candidate] to disclose the necessary personal information and allow [Employer/Institution] to contact me for reference purposes.
The reference will cover my assessment of the Candidate’s skills, qualifications, and suitability for the [Position/Opportunity], which may include my personal observations about their performance and character.
This consent is valid for [Duration, e.g., 6 months] from the date of signing, after which it will automatically expire unless renewed in writing.
I understand that I have the right to withdraw my consent at any time by notifying [Name of the Candidate] in writing, and I acknowledge that this will not affect any prior disclosures made under this consent.
I release [Name of the Employer/Institution] and [Name of the Candidate] from any liability or damage resulting from the disclosure of information as part of this reference.
[Signature of the Referee]
[Name of the Referee]
[Name of the Referee]
[Referee’s ID]
[Referee’s Address]
[Referee’s Phone]
[Referee’s Email]
[Name of the Candidate]
[Candidate’s ID]
[Candidate’s Address]
[Candidate’s Phone]
[Candidate’s Email]
This form serves to request permission from [Name of the Referee] to provide a reference for [Name of the Candidate] during their application for [Position/Opportunity].
I, [Name of the Referee], authorize [Name of the Candidate] to share my details with [Employer/Institution], allowing them to contact me regarding my reference.
The reference will include comments on the Candidate’s previous work performance, skills, character, and any relevant information that may help with their application.
This consent is effective for a period of [Duration, e.g., 1 year] and will be reviewed at the end of this period for continued relevance.
I recognize my right to revoke this consent in writing at any time, which will terminate any further contact related to this reference.
I understand that [Name of the Employer/Institution] and [Name of the Candidate] are not liable for any information shared in good faith under this consent.
[Signature of the Referee]
[Name of the Referee]
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