Reference Check Form Example

Reference Check
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Employers typically use a reference check form to check a job applicant's references. By using a form and standard questions, they will be collecting the same information for every candidate whose references they check.

References may be checked in writing. In that case, the form is mailed to the candidate's previous employer. Other times, references may be checked over the phone.

Do keep in mind that not all companies choose to provide references.

Some may only confirm that you worked there and your dates of employment.

Review a sample reference check form to get an idea of what your previous employers may be asked when they are called regarding a reference check. This sample reference check would be for a phone reference check, and would be filled out by someone from the company you are applying to.

Sample Reference Check Form

Applicant Name:
Position Applied for:
Reference Checked by:

Contact Person:
Contact Phone:

Was the applicant an employee of your company?
Yes [  ]
No [  ]

What were the applicant's dates of employment?
Start Date:
End Date:

What was the applicant's salary?
Starting Salary:
Ending Salary:

Why did the applicant leave?

What was the applicant's position and responsibilities?

What were the applicant's job responsibilities?

How would you rate the applicant's performance?

Did the applicant have any performance issues?

Did the applicant have any attendance issues?

What are the applicant's strengths?

What are the applicant's weaknesses?

Did the applicant get along well with management and co-workers?

Was the applicant promoted while with your company?

Can you describe this person's experience working as a member of a team?

How would you describe the applicant's interpersonal skills?

Did the applicant have any attendance issues?

If I describe the position we are hiring for to you, could you describe how good a fit you think the applicant would be for the position?

Is there anything I haven't asked that you would like to share with me?

Would you rehire this person?
Yes [  ]
No [  ]

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