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Childcare Reference Form

Please fill in the form on this page or, if you prefer, download it from here and sent it to me. All references must be translated into English on this form.

Yes No

Yes No

Please rate the applicant’s qualities in the following areas:
(1 = poor, 2 = below average, 3 =satisfactory, 4 = good, 5 = excellent)


Swedish Connection and/or the Family will telephone you to discuss this reference.

Yes No

I declare that all the details given by me on this character reference form are correct.