Reference questionnaire:
I have known the candidate from (Date)…………………………. to (Date)………………….and
my relationship to his/her is ………………………. at position……………………… in
department…………………………………
Comments on his/her competencies on the position on which he/she works with you.
If you were his/her employer, would you be ready to re-employ him/her? Yes ( ) No ( )
Does his/her professional background appear to fit him / her for the position
………………………….?
Did he/she lose much time from work because of ill health?
Describe his/her steadiness of temperament, dependability, discretion and attitude to his / her
associates.
Please describe the candidate’s ability to work with senior leadership?
Why did he/she leave the position? (if relevant)
………………………………………………………………………
If you were going to provide advice on how to best guide this person, what would it be?
As a candidate for the post of ……………………………………., I rate him / her (underline).
OUTSTANDING VERY GOOD GOOD PASSABLE
DOUBTFUL
Reference checked by:
Name………………………… Signature: ………………………………………Title: ………………
Date:……………………………….