Marble Hill Playcentres Reference Request Form
Please complete the information below for two references. One reference should be from a current employer or university/college department. PLEASE NOTE THAT FRIENDS OR FAMILY CANNOT BE USED AS REFEREES. By providing this information, you give Marble Hill Playcentres permission to contact these referees immediately, unless otherwise stated.
Email address *
Your full name *
Your answer
Referee One - Full Name *
Your answer
Referee One - Company and Position *
Your answer
Referee One - Contact Address
Your answer
Referee One - Contact Landline Telephone Number *
Your answer
Referee One - Contact Email Address (professional Account, no Gmail or Hotmail) *
Your answer
Referee Two - Full Name *
Your answer
Referee Two - Company and Position *
Your answer
Referee Two - Contact Address
Your answer
Referee Two - Contact Landline Telephone Number *
Your answer
Referee Two - Contact Email Address (professional Account, no Gmail or Hotmail) *
Your answer
Date Completed *
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YYYY
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