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Reference Check Questionnaire Template

Hhuuuik

Uploaded by

Vincent carl Cuerda
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16 views1 page

Reference Check Questionnaire Template

Hhuuuik

Uploaded by

Vincent carl Cuerda
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Reference Questionnaire

Applicants Name:

Date of service from: To:

Job title or Position:

Disciplinary record
Please advise of any
action taken:

Reason given
for leaving employment:

Would you re-employ?


(If not, please state
your reason why)

Please tick a box to indicate how you would rate this person on the following criteria.

Excellent Above Average Average Below Average

Work performance

Ability

Honesty

Attendance & Timekeeping

Presentation

Conduct

How many times has this person been late, or absent due to ill health, in the previous 12 months?

Do you know any reason


why this person would
not be suitable for
employment?

If necessary, can we discuss your reference with this employee? Yes No

Signed: Name:

Appointment: Date:

Thank you for your time. Please return this questionnaire in the envelope provided.

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