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Reference Check Form: Dates Employed

This document is a reference check form used to evaluate a job applicant. It requests information about the applicant's dates of employment, position held, and whether the referee directly supervised them. It then asks the referee to rate the applicant's job performance, strengths, weaknesses, and various skills on a scale of 1 to 5. Finally, it inquires about any issues during their tenure, their attitude towards supervisors, peers, and subordinates, development areas, reason for leaving, and whether the referee would rehire the applicant.

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16 views2 pages

Reference Check Form: Dates Employed

This document is a reference check form used to evaluate a job applicant. It requests information about the applicant's dates of employment, position held, and whether the referee directly supervised them. It then asks the referee to rate the applicant's job performance, strengths, weaknesses, and various skills on a scale of 1 to 5. Finally, it inquires about any issues during their tenure, their attitude towards supervisors, peers, and subordinates, development areas, reason for leaving, and whether the referee would rehire the applicant.

Uploaded by

seemadalal123
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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REFERENCE CHECK FORM

Applicant’s Name Dates Employed

Referee’s Company Name Final Position Held


Did you directly
Referee’s Name Supervise?
Referee’s Phone
Referee’s Position/Title Number

On the Job Performance


Please describe his/her overall work
performance and attitude
Strengths – example of a work activity
displaying strength.
Weaknesses – example where the
weakness became apparent
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

Any issue during tenure He was well behaved


(Ethics, Integrity, Credibility & Reputation)

Attitude Towards:-
Supervisors
Pears
Subordinates
Development Areas?
Reason for Leaving? Personal

Would you re-hire this person? Yes No no


Checked By:
Date:

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