Reference Check Form
Position Applied for: GM Real Estate
Applicant Name: Arun Gupta Procurement
Reference Name & Designation: Reference Contact No.
Organization: Date of Offer:
Relationship with Candidate (Supervisor/Peer/HR/Any other) - Duration:
Questions Responses
1. What were the applicant’s biggest
accomplishments or key contributions to
the organization’s growth & development?
2. How does the applicant lead through
transformation?
3. What are the most important values that
the applicant demonstrates as a leader?
4. What are the areas of improvement?
5. What is the applicant’s reason of leaving
the organization?
6. Would you consider rehiring the applicant?
7. Overall, how would you rate the applicant
on the following competencies?
Excellent Good Average Poor
(4) (3) (2) (1)
I. Strategic Business Orientation-
Ability of an individual to create
breakthrough business impact
II. Leadership through sustainability -
Ability to leverage the forces of economic
growth and viability in order to apply them
to the business environment
III. Customer Focus - Co-creates and
continuously enhances value for
customers in order to create customer
delight
IV. Innovation Led by Transformation
- Ability of an individual to use new
paradigms to create sustained and
exponential growth
V. Leveraging Human Capital – Builds
on capabilities and diversity of people to
create a multiplier effect
Additional Comments:
Reference check conducted by:
Name & Signature
Date:
Reference Check Form
Applicant Name: Position Applied for:
Reference Name & Designation: Reference Contact No.:
Organization: Date of offer:
Relationship with Candidate (Supervisor/Peer/HR/Any other) Duration:
Colleague
Questions Responses
1. What were the applicant’s biggest
accomplishments or key contributions to
the organization’s growth & development?
2. How does the applicant lead through
transformation?
3. What are the most important values that
the applicant demonstrates as a leader?
4. What are the areas of improvement?
5. What is the applicant’s reason of leaving
the organization?
6. Would you consider rehiring the applicant? Yes/No
If no, state the reason:
7. Overall, how would you rate the applicant RATINGS (Pls Tick)
on the following competencies?
Excellent Good Average Poor
(4) (3) (2) (1)
I. Strategic Business Orientation-
Ability of an individual to create
breakthrough business impact
II. Leadership through sustainability -
Ability to leverage the forces of economic
growth and viability in order to apply them
to the business environment
III. Customer Focus - Co-creates and
continuously enhances value for
customers in order to create customer
delight
IV. Innovation Led by Transformation -
Ability of an individual to use new
paradigms to create sustained and
exponential growth
V. Leveraging Human Capital – Builds on
capabilities and diversity of people to
create a multiplier effect
Additional Comments:
Reference check conducted by:
Name & Signature
Date: