Graduate Ambulance Paramedic Application Form doc HRIS and ...

Your Referees
Your Name
Your Contact
Number
AV requires at least two professional references in support of your application. Referees need to be supervisors
or managers who have had a close and recent involvement in your work, and should include your current
manager, if you have one. Employment can be paid or as a volunteer. Please note, referees cannot be related to
you by birth, marriage or de facto relationship.
AV prefers to contact referees via e-mail. If this is not possible, please provide a relevant contact
number. Please make sure your referee is anticipating contact from AV and is willing to participate as a
reference.
Name:
(Current/Recent Supervisor/Manager)
Organisation:
Position:
Relationship:
(Reporting
Relationship)
E-mail
address:
Telephone:
Name:
Organisation:
(BH)
(Current/Recent Supervisor/Manager)
(Mobile)
Position:
Relationship:
(Reporting
Relationship)
E-mail
address:
Telephone:
Name:
Organisation:
(BH)
(Current/Recent Supervisor/Manager)
(Mobile)
Position:
Relationship:
(Reporting
Relationship)
E-mail
address:
Telephone:
(BH)
(Mobile)
I ____________________________, give permission for the AV to conduct referee checks with the people I have
listed above.
Signature Date / /
TRIM: HUM/29/106-2
GAP Recruitment Application