Preview Employment Reference Verification Form

Reference Check Template [month/year] Page 1 of 2

[insert organisation name/logo]

Employee Reference Check Form

Name of Applicant:

Person Contacted:

Company:

Position/Title: Phone:

Relationship to applicant:

1. How long has it been since you last spoke with the applicant? (Were you aware they

had put you down as a referee for this application?)

2. What were the dates of his/her employment with you?

3. What was the nature of his/her job? (Describe position applied for - Do you think they

would suit this sort of role)

4. How would you describe his/her performance in comparison with other people?

5. Why did he/she leave your company?

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