HTML Preview Employment Reference Check Form page number 1.
Applica
nt: __________________________________________ Position:
_____________________________________
Reference Contacted:
Name: ____
_______________________________________________ Telephone Number__________________________________
Title of Reference: __________________________________________ Employer: ________________________________________
Verify the following information:
Position Applicant Held: ______________________________________________________________________________
Relationship to Applicant: Supervisor Co-worker Professional
Date of Employment: From ___________ To____________ How long did you supervise or work with: ________________________
Ask the employer for information on the applicant on the following areas/Tell me about:
Attendance:__________________________________Dependability:____________________________________
Ability to take on responsibility:__________________________________________________________________
Cooperation within the department/campus:________________________________________________________
Give pertinent examples showing initiative: ________________________________________________________
__________________________________________________________________________________________
Degree of Supervision needed:___
______________________________________________________________
Job Knowledge – (State the position the applicant is recommended for - Inquire on the specific job duties they were/are responsible for
that may be relevant to recommended position)
___________________________________________________________________________________________
Quality of Work (multi-task, attention to detail, customer service, operate office equipment, ability to learn new tasks):
___________________________________________________________________________________________
Areas for improvement? _______________________________________________________________________
Employment Reference Check - STAFF
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Responses provided by reference should be typed.