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Reference Check

This document is a reference check form used to gather information about a job applicant from a previous employer or supervisor. It contains 21 questions seeking details on: how the reference knows the applicant and their role; the applicant's duties and performance; ability to work independently and with others; attendance; work habits; accomplishments; weaknesses; adherence to responsibilities; ability to handle changes; shortcomings; and whether they would be rehired. The reference is asked to sign each page to verify their responses.

Uploaded by

Gracia Alejo
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
9 views

Reference Check

This document is a reference check form used to gather information about a job applicant from a previous employer or supervisor. It contains 21 questions seeking details on: how the reference knows the applicant and their role; the applicant's duties and performance; ability to work independently and with others; attendance; work habits; accomplishments; weaknesses; adherence to responsibilities; ability to handle changes; shortcomings; and whether they would be rehired. The reference is asked to sign each page to verify their responses.

Uploaded by

Gracia Alejo
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

COMMISSION ON AUDIT
ADMINISTRATION SECTOR
HUMAN RESOURCE MANAGEMENT OFFICE
Commonwealth Avenue, Quezon City

REFERENCE CHECK

APPLICANT’S NAME : ____________________________________________________


REFERENCE CHECK WITH : ____________________________________________________
POSITION/DESIGNATION : ____________________________________________________
DEPARTMENT/OFFICE : ____________________________________________________
DATE ACCOMPLISHED : ____________________________________________________

May we request you to answer the following questions provided below. Rest assured that all answers
will be treated with utmost confidentiality.

1. How well, and in what capacity, do you


know the candidate?

2. State here the inclusive dates he/she was


under your supervision.

3. What were his/her responsibilities/duties?

4. Was the assigned work accomplished


correctly?

5. Was the work accomplished in a timely


manner?

6. Does he/she work well on his/her own or


does he/she need minimum or maximum
supervision in doing his/her job?

Signature over printed name


of reference person
7. How did he/she get along with his/her

a. Supervisors?

b. Co-workers?

c. Subordinates?

8. How was his/ her attendance?

9. Did he/she have a problem with tardiness?

10. How was his/her attitude towards work?

11. Why does the candidate want to resign


from his/her job?

12. How would you describe the candidate’s


work habits?

13. Would you characterize him/her as a hard


worker?

14. What were the candidate’s major


accomplishments?

15. What are the candidate’s weaknesses?

Signature over printed name


of reference person
16. Does he/she typically adhere strictly to
job duties, or does he/she assume
responsibilities beyond the basic, written
job description?
17. How does this individual handle
interruptions, breaks in routine, and last-
minute changes?

18. Does he/she need close supervision to


accomplish or excel in any task given to
him/her, or does he/she take more of
independent approach to her/his work?
19. Describe some of the candidate’s
shortcomings (ex. Personality, work
ethics).

20. Would you rehire him/her?

21. Is there any other information we have


not covered that you would like to
mention?

Thank you

Signature over printed name


of reference person

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