Reference Check Form: (With Previous Employer)
Reference Check Form: (With Previous Employer)
THIRTEEN YEARS
2. Please confirm main job responsibilities?
CLERICAL JOB
3. How would you describe his / her Excellent Very Good Satisfactory Needs Remarks
Improvement
a. Sense of accountability Y HIGLY
RECOMMENDED
b. Integrity Y HIGLY
RECOMMENDED
c. Cooperativeness Y HIGLY
RECOMMENDED
d. How well did he get along with: Y HIGLY
RECOMMENDED
1- Management Y HIGLY
RECOMMENDED
2- Co-workers/Peers Y
3- Clients/Customers HIGLY
RECOMMENDED
4- Subordinates (if any) Y HIGLY
RECOMMENDED
e. Adaptability Y HIGLY
RECOMMENDED
f. Communication Y HIGLY
RECOMMENDED
g. Job performance/Quality of Work Y HIGLY
RECOMMENDED
g. Planning Y HIGLY
NO.
5. Was there any record of significant medical examination findings or severe illness during his/her stays in your
company? If yes, please specify findings/illness.
NO.
6. Was there any issue concerning money matters or incidence of conflict of interest arising to personal gains in the
performance of his/her job?
NO.
7. Should the employee re-apply in your company what will be your recommendation:
Please check answer below.