A
ttachment C
TALLAHASSEE COMMUNITY COLLEGE
Reference Check Form
Applicant: Position Applied For:
Employer: Phone #:
Person Contacted: Title:
In what capacity have you known this applicant?
Immediate Supervisor Higher Level Supervisor Fellow Employee Personal Friend
Other
Position(s) Held:
Can you confirm dates of employment: From To
Full-time Part-time Hours Worked Per Week
Duties Performed:
What reason was given for leaving?
How would you rate the person in the following areas?
Excellent
Good
Fair
Poor
Unknown
Quality of work
Dependability
Organizational Skills & Meeting Deadlines
Initiative
Attendance
Communication skills
Rapport with students/clients
Rapport with colleagues
Rapport with supervisors
Attitude
Would you think he/she is more: Outgoing Reserved
Would you think he/she is more: Task oriented a People Person
If this person were offered the job, in what areas would you feel he/she would mostly need help?
What are his/her greatest strengths?
Would you rehire this person? Yes No
If no, why?
Is there anything else you would like to tell us about this applicant?
Other comments or information?
S
ignature:
D
ate
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signature
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