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Reference Check Form

This document contains a reference check form with questions to ask references about a job applicant. It includes required questions about employment history, responsibilities, effectiveness, strengths, areas for improvement, integrity, relationships, and advice for a new manager. It also includes optional questions about drive for results, self-development, technical skills, and reacting to stressful situations. The form is to be filled out by a reference being checked and provides space for recommendations and additional comments.

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mahesh Kumar
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
14 views

Reference Check Form

This document contains a reference check form with questions to ask references about a job applicant. It includes required questions about employment history, responsibilities, effectiveness, strengths, areas for improvement, integrity, relationships, and advice for a new manager. It also includes optional questions about drive for results, self-development, technical skills, and reacting to stressful situations. The form is to be filled out by a reference being checked and provides space for recommendations and additional comments.

Uploaded by

mahesh Kumar
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Screen reader users can use arrow key and header navigation to review the text content of this

form. Use the tab key to enter into the form to begin filling it out.

Reference Check

Applicant Name: Reference Checked By: Date:


Name of Reference: Title:
Employer: Phone Number/Contact Information:
Introduction:
Identify yourself, your role at UCSC, your reason for calling and the position for which the candidate is applying. Briefly describe
the duties and responsibilities of the position the candidate is seeking.
Required Questions:
Verification of employment: Where did you work with him/her/them? How long did you work together? What was your working
relationship? Do you know why they left your organization?

Responsibilities: Please describe his/her/their key responsibilities.

Effectiveness in role: How effective were they in carrying out those responsibilities? Overall, how would you rate the quality of
work performed (1-10)?

Strengths: What were some of his/her/their strengths, contributions or significant achievements?

Areas of improvement: Based on your experience of him/her/them, what areas did you note as needing further development?

Integrity and Trust: Are company values important to him/her/them? How would you describe his/her/their honesty and integrity?

Relationships: Describe his/her/their interaction with; teammates, peers, supervisor/manager, other departments or teams, and
direct reports (if applicable). How is their interaction with (internal or external) clients?

Advice for new Manager: How does he/she/they like to be managed? What motivates him/her/them?

Reference Check, Page 1 of 3


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Reference Check

Optional Questions To Consider:


Drive for Results: Would you consider him/her/them to be a top performer? Describe his/her/their productivity and commitment
to quality or customer orientation. There is always a “go-to” person when certain tasks come up and need to be done quickly.
What were they known for? How has he/she/they displayed initiative?
Self-Development: Is he/she/their committed to and actively working on improving his/her/their skills and knowledge base? Does
he/she/they have a knowledge of current and future trends, technologies and competition that can affect his/her/their business
and organization?

Technical Skills: How would you describe his/her/their level of technical skills and knowledge?

How well did he/she/they utilize resources?


How well did he/she/they react to stressful situations?
How would you describe how well they met the following: Initiative and follow-through
Ability to multi-task with flexibility
Ability to function well with interruptions
Organizational and time management skills
Business writing ability
Service-oriented
Communication skills
Computer and general business/administrative skills
Ability to take on responsibility
Analytical and conceptual ability
Decision-making ability
Potential for advancement
Interview follow-up: add specific question(s) recommended by the search committee here

Closing:
Recommendation: We are considering him/her/them for the position of (job title or brief description). Would you recommend
them for this type of position? Would you hire them if you had an appropriate opening?

Is there anything else you would like to add?

Reference Check, Page 2 of 3


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Reference Check

Required Questions (Supervisor/Management Positions Only):


Describe this candidate's management style and skills.

How many direct reports did he/she/they supervise or manage? What were their roles?

How well did they train those employees reporting to him/her?

Did they delegate work appropriately?

Did their team or group perform well and/or meet objectives? If not, why?

What would their peers say about them? Do they have the ability to influence and engage?

Select From List Of Optional Questions To Consider From Page 2 And Copy And Paste Those You Choose
To Ask

Optional: Add Your Own Questions Specific To The Position

Reference Check, Page 3 of 3

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