REFERENCE CHECK FORM
Candidate's Name Date employed
Referee Final position held
Referee’s Present Did you directly
Company supervise?
Referee's Present Referee's Phone
Designation Number
1 How long have you known the candidate?
2 At which organization did he/she work with you?
What was his/her title and main responsibilities at that
3
time?
Could you please comment on his/her ability to execute
4
against set goals?
How is his/her ability to influence others (Leaders, Peers
5
and Team members) in the organization?
6 In your view, what does he/she do well?
In your view, what could he/she do better?
7
8 Why did he/she leave the position?
Would you ever be willing to work with the candidate
9
again?
10 Do you have any other comments on the candidate?
Please rate the candidate in the following areas by marking it with an ‘X’ (or N.A.) in the appropriate boxes:
Above Below
Excellent Average Poor
Average Average
Leadership
Command of English language skills – Verbal, Written,
Presentation
Integrity / Ethics
Team Work
Interpersonal Skills
Completed By : Date :
PRIVATE AND CONFIDENTIAL