Free Reference Check Form

This Reference Check Form is for use by an employer or HR Department when checking a prospective employee’s references. This form includes the name of candidate, position applied for and the date. It also contains how the references were checked (phone, email), the dates of candidate’s employment with the job reference, job description and any particular observations about the applicant.

Disclaimer:This was not drafted by an attorney & should not be used as a legal document.




REFERENCE CHECK FORM

Candidate:_______________________________

Position considered for:_____________________

Check made by:___________________________

Date:___________________________________


Company information obtained from ___________________________________

Phone: ____________________________________________

Name: ____________________________________________

Position: ______________________________________________

Relationship to candidate:__________________

Employment dates - From____________________to_________________________

Title:________________________________

Income when he/she left: Salary $______________ hourly/monthly

Description of his/her job:_____________________________________________
______________________________________________________________________

Strengths:____________________________________________________

Areas of improvement:__________________________________________

Particular observations:_________________________________________________
______________________________________________________________________

His/her interpersonal relationships/working with others:
______________________________________________________________________

Reason for leaving:___________________________________________________

Rehiring__________________

General evaluation/comments:__________________________________________

______________________________________________________________________



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