Previous Employment Verification/reference Form Page 2

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Referee to complete
(Complete this section and return form to applicant to include in their partnering submission)
Referee’s name: ...........................................................................................................................
Organisation: ................................................................................................................................
Position held: ................................................................................................................................
Phone: ..........................................................................................................................................
Email address: ..............................................................................................................................
How long have you known the applicant? ..................................................................................
Relationship to applicant: ............................................................................................................
Briefly outline how the applicant demonstrates industry knowledge and applies this knowledge
in their present role.
**You may choose to attach a written reference if you prefer, or if more room is needed.
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Referee’s Declaration:
I declare the above to be a true reflection of my relationship with the applicant and understand this is to be used in
support of their partnering application. I also understand that I may be contacted by an Allens Training representative to
discuss any of the above information during the application process.
____________________________________
____________________________________
Referee’s Printed Name
Referee’s Signature
Date ____________________________
th
Version: 10
June 2014
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