Employment Reference Check Form
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PROFESSIONAL WORK EXPERIENCE DOCUMENTATION DOCUMENTATION Applicant: 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 What was
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