Private and Confidential: Reference Checking Form Page 1 of 4
Thank you for taking the time to complete this reference check form. Your feedback is a
vital part of the final evaluation process for the candidate listed below, as part of the
Nepal Can recruitment process.
Please be assured that all information provided will be treated with the strictest
confidentiality and will be used solely for internal recruitment purposes. No part of your
response will be shared with any third party.
We value your honest and candid insights into the candidate’s characteristics,
performance, and suitability for the role. This reference check helps us ensure that the
information gathered throughout the recruitment process is accurate and reflective of
the candidate’s capabilities and experience.
If you have any sensitive or specific feedback that you would prefer to discuss directly,
please feel free to reach out to the contact person listed below.
We sincerely appreciate your time and support.
Candidate Details (HR Department to fill out)
Candidate Name Diwash Poudel
Current position Business Development Executive
applying for
Nepal Can Contact:
Name of Contact: Prasamsha Siwakoti – Talent Acquisition Executive
Email Address [Link]@[Link]
Contact Number: 9801984383
Referee Details Referee to fill out
Full Name
Current position
Company Name
Relationship with
candidate
Contact Number
Contact Email
Date
Candidate position at your Company: Referee to fill out
Dates of Employment
Reason for leaving
Last Position held at
your company
Relationships Building & Influence: Referee to fill out
1. How effectively did the candidate collaborate with colleagues and managers within
the organization?
2. How well did the candidate get along with external stakeholders (e.g. Clients,
partners, service providers) How was the candidate perceived by these external
parties in terms of professionalism, reliability, and communication?
3. In your experience, how effective is the candidate at building and maintaining
professional relationships to achieve work objectives?
If applicable, please indicate the types and seniority levels of stakeholders the
candidate has successfully engaged with (e.g., senior executives, mid-level
professionals, frontline staff, etc.). Feel free to include specific examples or contexts
where their relationship-building skills were particularly evident.
Problem Solving and Decision Making: Referee to fill out
4. In your experience, how effectively did the candidate handle workplace challenges
and make appropriate decisions relevant to their responsibilities?
5. Is the candidate capable of working independently when required, while also
knowing when to seek input or guidance from management?
6. Is the candidate open to receiving and applying constructive feedback to enhance
their work or address issues effectively?
Management Style: Referee to fill out
7. In your experience, does the candidate demonstrate strong time management skills
and the ability to prioritize effectively under pressure?
8. How would you assess the candidate’s ability to lead, inspire, and coordinate a
team toward achieving shared objectives?
9. How well does the candidate adhere to organizational rules and make appropriate
decisions for their team in alignment with company objectives?
[Link] would you describe the candidate’s professional values and ethical standards?
Have you observed them demonstrating integrity, accountability, or other core
values in their work?
General: Referee to fill out
[Link] there any specific skills, behaviors, or competencies where the candidate could
benefit from further development?
[Link] on your experience, how would you describe the candidate’s key strengths
and personality traits?
[Link] on your experience, how should a manager best support or engage with this
candidate to help them thrive in a professional setting?
[Link] given the opportunity, would you re-hire the candidate again?
Overall Assessment: Based on the
candidate’s role and performance
during their time at your organization, Very Goo Excellen
Poor Fair
how would you rate your overall poor d t
impression of the candidate? Referee
to fill out
i. General professionalism (e.g.,
appearance, behavior, and interactions
with colleagues)
ii. Computer Skill & Technological Knowhow
iii. Relationship Building
iv. integrity and uphold strong work values
v. Mentorship and Knowledge Sharing
vi. Taking initiative
vii. Escalates work challenges effectively
and appropriately to management when
needed
viii. Accountability for work
ix. Accountability for team
x. Agility / Flexibility in change
Is there anything else that you would like to add or believe that we should
know before hiring him/her? Referee to fill out