Preview Employment Reference Check Form

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.

HTML Preview Employment Reference Check Form page number 1.