HRM 12/2017
TELEPHONE REFERENCE CHECK
CALIFORNIA STATE UNIVERSITY, LOS ANGELES HUMAN RESOURCES MANAGEMENT
REQUISITION NUMBER NAME OF CANDIDATE
COMPANY WHERE CANDIDATE WORKED
PERSON CONTACTED / TITLE
DATES OF EMPLOYMENT
JOB TITLE
JOB RESPONSIBILITIES
How would you rate him/her on the following?
GENERAL ADMINISTRATIVE/SUPERVISORY
Very
Good
Average Below
Average
Quality of work
Quantity of work
Cooperation
Dependability
Initiative
Knowledge of work
Organization of work
Interpersonal skills
Ability to meet deadlines
STRONG POINTS
AREAS NEEDING IMPROVEMENT
REASON FOR LEAVING
IS THE CANDIDATE ELIGIBLE FOR RE-EMPLOYMENT? Yes_____
No______
COMMENTS
REFERENCE COMPLETED BY
Very
Good
Average Below
Average
Ability to train others
Ability to delegate work
Ability to supervise the work of others
Acceptance of responsibility
Ability to make rational decisions
Budget administration
Resourcefulness
Ability to plan the work of others
Ability to work within policies/procedures
Attendance
PRINT NAME SIGNATURE DATE
If "No," why not?
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