Bluestones Medical

Reference request - Character

Your details have been passed to us by a worker who requires a character / personal reference. Please fill in the simple form below and sign or initial, before clicking submit. Thanks in advance for your help.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Candidate character reference

Candidate's name*
Date of birth
If known
Would you recommend them for the position applied for?

About you

The person providing the reference
Your name*
Date of birth

Sign and submit

Clear Signature
When you digitally sign and submit this form, a PDF copy will be sent to Bluestones Medical.

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