Please make sure the individual you are referring wants to start work and is motivated to do so.

Please confirm consent (verbal or otherwise) has been obtained from the candidate to share the following information with Liberatus. *

YesNo

Referral Date

Candidate Information

Candidate Name *

Candidate Date of Birth

Gender

Does the candidate have Right to Work in the UK? (Valid UK or Irish passport or official letter with name and NI number. Non-citizens require RTW share code)

Candidate Email (If known)

Candidate Phone No:

Candidate Address: (If no permanent address please put their housing status and address if known)

Emergency Contact Details (If known):

Please share details of the candidate's offence:

Release Date (If on community license, please provide start date and duration):

Prison ID (If available):

Is the Candidate subject to any restrictions? (If yes, please provide details)

What work experience or qualifications does the candidate have?

What area of work is the candidate interested in?

Does the candidate have access to transport? (car, public transport, other)

Referrer Information

Your name *

Organisation Name *

Your position:

Organisation Location:

Your relationship to the candidate:

Your contact details:

Thank you!

We at Liberatus greatly appreciate you recommending someone to join our workforce.

Please send your referral to: referrals@liberatus.co.uk

All data will be safeguarded as outlined in our privacy policy. Read more at: www.liberatus.co.uk/privacy-policy

Specific details of the candidate's criminal record will not be shared with potential employers unless it is necessary. Mitigation strategies may be shared to secure positive placement for both candidate and hirer.