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Reference Check Form

Purpose: A reference check is a valuable tool in the recruitment process to verify facts and obtain additional information about the candidate. All sections should be completed to be considered a valid reference. Indicate N/A if the question is not applicable.

Please rank the candidate based on the following areas

Purpose: A reference check is a valuable tool in the recruitment process to verify facts and obtain additional information about the candidate. All sections should be completed to be considered a valid reference. Indicate N/A if the question is not applicable.

Additional Questions

Purpose: A reference check is a valuable tool in the recruitment process to verify facts and obtain additional information about the candidate. All sections should be completed to be considered a valid reference. Indicate N/A if the question is not applicable.

  • Applicant Info
  • Please rank the candidate based on the following areas
  • Additional Questions

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Applicant Name

Position Title

Date of Reference Check

Person Checking Reference

Reference Name

Reference Designation

Reference Organization

Reference City

Date of Employment

Date of Left Job

Relationship to Applicant

Salary

Position(s) Held

What was the nature of the applicant’s job?

Reason for Separation

Give Explanation

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Responds to Supervision

Attendance

Dependability

Willingness to assume responsibility

Ability to follow instructions

Quality of Work

Quantity of Work

.

Were there any disciplinary actions? Please explain

Were there any performance issues? Please explain

What are the candidate’s strong points?

What are the candidate’s weak points?

If given the opportunity, would you re-employ this individual?

Any additional comments?