REFERENCE
CHECK FORM
This should be pre-lled out by employer/hiring manager/screener
Candidate’s name:
Reference name:
How do you know the candidate?
In what capacity did you work with the candidate?
Jobs held while working with the candidate:
Position sought:
Company:
Company:
Current job title:
ABOUT THE CANDIDATE
REFERENCE INFORMATION
REFERENCE CHECK FORM
Candidate’s employment dates:
Candidate’s reason for leaving (i.e.: quit, red, etc.):
Did the candidate receive any promotions?
Did the candidate have any attendance issues?
Did the candidate have any performance issues?
Candidate’s job titles, roles, and time spent in each:
Job responsibilities: Notable accomplishments:
EMPLOYMENT AND WORK
Please rate the candidate on a scale of 1-5 on the following:
Time management
Yes
Yes
Yes
Explain:
Explain:
Explain:
No
No
No
Dependability Reliability
Communication skills
(written, oral, listening)
Positive Attitude Team Player
REFERENCE CHECK FORM
What do you think the candidates strongest attributes are?
What are some hurdles the candidate experienced or experiences?
How does the candidate handle stressful or challenging situations?
What was your overall experience working with this candidate?
Do you have any major concerns about this candidate?
Is there anything else you’d like to add that was not covered in this form?
Would you re-hire this candidate? Why or why not?
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