Name of Candidate

Job Title

Dates of employment:

Please mark N/A if not applicable – Please complete all fields

Professionalism / conduct

ExcellentGoodSatisfactoryPoorN/A

Relationship with pupils

ExcellentGoodSatisfactoryPoorN/A

Relationship with colleagues

ExcellentGoodSatisfactoryPoorN/A

Classroom management

ExcellentGoodSatisfactoryPoorN/A

Knowledge of subject area

ExcellentGoodSatisfactoryPoorN/A

Planning and preparation

ExcellentGoodSatisfactoryPoorN/A

Quality of teaching

ExcellentGoodSatisfactoryPoorN/A

Experience of ICT

ExcellentGoodSatisfactoryPoorN/A

Quality of professional judgement

ExcellentGoodSatisfactoryPoorN/A

Contribution to wider aspects of school life and ethos

ExcellentGoodSatisfactoryPoorN/A

Contribution to own professional development

ExcellentGoodSatisfactoryPoorN/A

Has there ever been any safeguarding issue or disciplinary action in regards to the candidate?

YesNo
If YES, please provide details about the safeguarding issue or disciplinary action:

Would you re-employ the candidate?

YesNoN/A

Additional Comments

Details about you

School/Company:

Position:

Your Name:

Your Email:

Date:

Please confirm:

I confirm I am the named referee or act on behalf of the named referee and the information provided is true to the best of my knowledge

I understand that under the Conduct of Employment Agency and Employment Business Regulations 2003, and in accordance with DfE guidance, Worldwide Education may be required to provide this reference to prospective employers