REFERENCE CHECK FORM
(with experience)
Reference for: Position:
Details of Referee:
Name Position
Company Tel No./email
Working relationship with the candidate
1) What was the applicant’s position within the company and dates of employment?
2) What was the applicant’s major responsibilities / duties?
3) Applicant’s major achievements/accomplishments whilst employed at the company?
4) Applicant’s main strengths and possible areas of improvement.
5) Candidate’s ability to relate and interact with customers, subordinates, peers & management.
6) Reason for leaving the company?
7) Suitability of the applicant for the position applied for?
8) Would the referee work with this person again? Yes No
Why?
9) Any disciplinary record/s obtained during his/her stay in the company?
10) Any record/s of untoward incident/s that he/she was involved in?
Reference taken by: Jhersey Queral Position: HR Specialist