Candidate Pre-Employment Reference Check Form
Candidate Pre-Employment Reference Check Form
Applicant:
Referee’s Name:
Referee’s Position:
Referee’s Company:
Date:
Introduction Done
Please note that this reference will be used in the overall evaluation
of the applicant and will affect whether they are selected for the job.
The information you provide may be given to the candidate if
requested, Do I have your permission to proceed?
Briefly explain the responsibilities of the job and the factors you will
be assessing through the reference check and seek confirmation
from the reference on the information provided by the applicant.
General questions
Rating
No Area
Poor Average Good Outstanding
1 Reliability
Time management and organizational
2
skills.
3 Professionalism
4 Transparency and integrity
5 Ability to learn new tasks
6 Initiative and proactiveness
7 Dependability
8 Adaptability to change
9 Interpersonal communication skills
Applicant’s abilities with others that
10
have held the job
Overall, how would rate his/her
11
general work habits?
Overall, how would rate the quality of
12
work performed?
Closing
Would you re-employ the
applicant? Why/why not?
Do you have any final comments?
Or is there anything I haven't asked
about that someone considering
this person for a job should be
aware of?
Thank you for taking the tame to provide feedback. If you wish to provide any further
information, you can contact me on 01x-xxxxxx