Employment Reference Check

Candidate Name

Reference Name

Reference Title

Relationship

How do you know this candidate?

Please provide this candidate’s job title and dates of employment

What responsibilities were assigned to this candidate?

Did this candidate go above and beyond what was required without being asked?

Please describe this candidate’s work performance

Was this candidate punctual?

Did this candidate have any issues with absenteeism?

Did this candidate get along well with their peers, managers, and customers?

If you were in the position to rehire this candidate, would you do so?

Electronic Signature