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Thank you for taking the time to complete this online reference form for one of our applicants or current cleaners.

It should take you no more than 5 minutes to complete this form - which will be emailed directly to us.

If you would prefer to print out a copy and post it to us, you can do so by downloading a digital copy of our Reference Form

Your Details

What are your details?

Full Name *
Company Name (if applicable)
Street *
Town/City *
Postcode *
Contact Telephone Number *

Applicant's Details

Who are you submitting a reference for?

Applicant's Name *
Applicant's Postcode *

The applicant named above has applied to us for work as a domestic cleaner in private houses. It is obviously important to us and our clients that all the workers we use are hard-working, honest and reliable.

How do you know the applicant? *
How long have you known the applicant? *


Please rate the applicant on each of the following:

PoorAverageGoodVery Good

 Responsibility *

 Motivation *

 Commitment *

 Trustworthiness *

 Reliability *

 Working with others *


Do you know of any reason why we should not offer work to this person? *


As you indicated "Yes" to the above question, please comment below:

Please make a comment on the applicants suitability to be a domestic cleaner with us: *

This reference may be passed to potential clients of the applicant. Are you happy for your details to be made available?


* Required Information.