How to work with Lifetouch Care? – Schedule Your Consultation Today!
How to work with Lifetouch care? – Schedule Your Consultation Today!
Reference Form
Nurse-Led Professional Care Services
Complex Home Care
Confidential
📞 01902 544 824
Referee Details
Name of Referee *
Referee name is required
Job Title *
Job title is required
Work Address of Referee *
At least address line 1 is required
Subject
Name of Applicant *
Applicant name is required
Staff Reference Number (if available)
Position Applied For *
Position applied for is required
Dear Sir or Madam

The above-named person has applied to Lifetouch Care and has named you as one of their referees. The applicant has agreed that we may approach you to obtain a reference, and I would be grateful if you would complete the reference form. All reference letters submitted will be treated as confidential and will not be shared with the applicant or external parties. Please let me know if you require any additional details to facilitate this process. Thank you for your time and support.


Section A — Relationship to Applicant
In what capacity do you know the applicant?
Other:
Was the applicant employed by your organisation? *
Please select an option
How long have you known the applicant? *
Please select how long you have known the applicant
Do you consider them honest and trustworthy? *
Please select an option
Are you related to this person, such as a family member? *
Please select an option
Section B — Performance & Character Ratings
Overall Conduct *
Please rate the applicant's conduct
Punctuality & Reliability *
Please rate the applicant's punctuality
Ability to Work as Part of a Team *
Please rate the applicant's teamwork
Professional Knowledge & Skills *
Please rate professional skills
Would you re-employ or recommend this applicant? *
Please select an option
Section C — General Comments
Section D — Confirmation & Signature
Date is required
Digital Signature — Please sign below
Or
No file chosen
Please draw a signature above or upload a signature image
If you have drawn a digital signature above, you can leave this empty. Otherwise, upload a photo or scan of your signature (JPG or PNG).
ⓘ Privacy Notice: Your information will be processed confidentially and in accordance with UK GDPR and the Data Protection Act 2018. The details you provide will be used solely for recruitment purposes. Lifetouch Care is a CQC‑registered provider and is committed to maintaining high standards of professionalism and data protection.