REFERENCE CHECK FORM
From:
Applicant’s Name Dates Employed To:
Referee’s Company Name Final Position Held
Did you directly
Referee’s Name Ranjan Kumar Das Supervise? Yes
Referee’s Phone
Referee’s Position/Title General Manager Number
On the Job Performance
Please describe his/her overall work Very Good Training Manager with never say no attitude
performance and attitude
Strengths – example of a work activity Customized Training Programs/Coordination with Dept heads/Interpersonal
displaying a strength. skill with employees
Weaknesses – example where the In her initial days of working with me she was hesitant and low on taking
weakness became apparent initiatives however she improved with time and did very well.
Was the candidate aware of this
weakness and has there been any effort
to improve in this area?
On a scale of 1-5 (1 being poor and 5 being excellent) how would you rate the
candidate’s following skills
Leadership 1 2 3 4 5
Problem Solving 1 2 3 4 5
Initiative 1 2 3 4 5
Team Work 1 2 3 4 5
Communication 1 2 3 4 5
Ability to work under pressure 1 2 3 4 5
Ability to take constructive criticism 1 2 3 4 5
Ability to work unsupervised 1 2 3 4 5
Technical Skills 1 2 3 4 5
Punctuality / Attendance 1 2 3 4 5
What is the best way to manage this Keep her motivated/Guidance as and when needed.
candidate?
What would his/her superiors say about She has been a very good learner
him/her?
What would his/her peers say about She has added many things to their life
him/her?
Handling criticism/Exposure to innovative training methods
Development Areas?
Growth
Reason for Leaving?
Would you re-hire this person? Yes No
Checked By:
Date: