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. Candidate character referenceCandidate's name* First Last Date of birth Day Month Year If knownPosition applied for I confirm that I have known the individual named above for:*Please select an optionLess than 1 year1 - 2 years3 - 5 years6 - 10 years11+ yearsPlease explain how you know them*Would you recommend them for the position applied for? Yes No Any additional comments?*About youThe person providing the referenceYour name* First Last Your position* NMC Pin Date of birth Day Month Year Your email address* Sign and submitPlease sign or initial to confirm that the information you're submitting to Bluestones Medical is accurate.*When you digitally sign and submit this form, a PDF copy will be sent to Bluestones Medical.NameThis field is for validation purposes and should be left unchanged.