Previous Employment Verification/reference Form printable pdf download

Previous Employment Verification/Reference Form

INSTRUCTIONS

The applicant below is being considered for a Training Partner arrangement with Allens Training. In order to

be considered for this partnering opportunity the applicant is required to obtain two (2) references

supporting their industry experience relevant to the courses/subject area they are wishing to deliver. We ask

that you include comments specifically relating to the subject area in your reference. You are required to

include your contact details (email/phone) so we can verify the applicants details if required at any time

during the application process.

Without the information requested below we cannot consider the applicant for this business opportunity. We

will only use this information to evaluate the applicant for a business partnership and will not release the

information to any third party unless required to do so via subpoena or court order. If you have any questions

please do not hesitate to contact .au.

The applicant should complete their section prior to giving the form to their referee to complete.

The referee should hand the completed form back to the applicant so that it can be included in the online

submission process.

Applicant to complete

(Complete this section before giving this form to your nominated referee)

Applicant’s name: .......................................................................................................................

Courses/subject areas being applied for:

(please tick all that apply)



First Aid

Construction and Industrial

Paramedic Courses



Health and Safety

Fire and Emergency

Other……………………………..

Applicant's Authorisation:

I hereby authorise the addressed individual, company, or institution to provide Allens Training Pty Ltd. with any

information it may have concerning me which is on record or otherwise, and do hereby release the addressed individual,

company, or institution and all individuals connected therewith, including the company to which I am applying, from any

and all liability for any damage whatsoever incurred in providing and disclosing any information relating to my

employment with the addressed individual, company, or institution. This simply means that I will not sue the addressed

individual, company or institution for disclosing any requested information concerning my previous employment.

________________________________

__________________________________

Applicants Printed Name

Applicant’s Signature

Date ____________________________

Version: 10

June 2014

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Previous Employment Verification/reference Form