KanyaCaregivers - Forms
Forms
Staff Consent Form to Request Reference
Member Information
Full Name
Job Title
Department
Employee ID (if applicable)
Contact Number
Email Address
Consent to Contact Referee
I, the undersigned, give my full and informed consent to the organisation named below to contact previous employers, academic institutions, or relevant referees for the purpose of obtaining professional references related to my employment or qualifications.
Referee Contact Details
Name
Position
Organisation
Relationship
Email Address
Phone Number
Declaration
I confirm that the information I have provided is accurate and that I give my explicit consent for KanyaCaregivers to request and receive references in relation to my employment or education history. I understand that I can withdraw this consent at any time by notifying the organisation in writing.
Submit