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Reference Check Form

This reference check form collects information about a job candidate from a previous employer or reference. Section I collects candidate information. Section II collects details about the reference being contacted. Section III consists of 11 questions about the candidate's job responsibilities, character, relationships, accomplishments, strengths, attendance, willingness to rehire, work performance, management fit, and additional comments. Section IV collects details about the candidate's reason for leaving their previous position and the person completing the form.

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John P. Wise
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
58 views

Reference Check Form

This reference check form collects information about a job candidate from a previous employer or reference. Section I collects candidate information. Section II collects details about the reference being contacted. Section III consists of 11 questions about the candidate's job responsibilities, character, relationships, accomplishments, strengths, attendance, willingness to rehire, work performance, management fit, and additional comments. Section IV collects details about the candidate's reason for leaving their previous position and the person completing the form.

Uploaded by

John P. Wise
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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REFERENCE CHECK FORM

SECTION I: CANDIDATE INFORMATION

Last Name: First Name:

Position applied for: Department:

SECTION II: REFERENCE CONTACTED

Person Contacted: Employer/Organization: Phone Number:

Position title of person contacted: Length of association to candidate:

Relationship to candidate: □ Supervisor □ Co-Worker □ Subordinate □ Other _____________________

Date Contacted: ___________________

SECTION III: QUESTIONS

1. Please describe the candidate’s main job responsibilities:

2. What can you tell me about [NAME]? How would you describe (his or her) character?
3. How would you describe the working relationships [NAME] had with other people in the organization?

o Excellent
o Good/Met expectations
o Unsatisfactory
o Not applicable

4. What was (his/her) biggest or most important contribution to the department and/or organization? What
were their key accomplishments?

5. In what area(s) did (he/she) excel in? What area(s) of development could the candidate focus on?

6. Describe [NAME]’s attendance at your organization.

o Excellent
o Good/Met expectations
o Unsatisfactory
o Not applicable

7. If provided the opportunity would you re-hire/work with (him or her)? Why or why not?

2
8. How did [NAME] perform while working with others? (Did they take initiative? Did the candidate mainly work
independently or within a group? Did he/she need a lot of direction?)

o Consistently high quality


o Meets job requirements
o Needs improvement
o Not applicable

9. If you were going to provide advice on how to best manage this person, what would it be?

10. If I describe the position we are hiring for to you, could you describe how good a fit you think he/she would be
for this position?

11. Additional comments provided by reference on any of the above questions or other job relevant information
gathered or inquired:

SECTION IV: ADDITIONAL DETAILS

Reason for leaving the


company:
Completed by:

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