Reference Check Form (Template) (Exempt level positions) Candidate’s name: Date/ time of discussion: Reference name: Position/Title Company: Telephone # Reference checked by: 1. Tell me how and when you came to know [candidate]. In what ways have you worked with [candidate]? Could you clarify for me what [his/her] responsibilities were when [he/she] worked for you? On a scale of 1 – 10, with 10 being “outstanding,” how would you rate [candidate]’s performance? 2. Let me tell you about the job I am considering hiring [candidate] for. Based on your experience with [candidate], how do you think [he/she] might perform in that role? 3. What are [candidate]’s strengths, in your opinion? What would you consider to be [candidate]’s biggest areas for improvement? 4. Describe a difficult situation [candidate] has had to handle. 5. How would you describe [candidate]’s capacity for analytical thinking and problem solving? OCTOBER 2011 6. How would you describe [candidate]’s listening skills? 7. Please describe [candidate]’s capacity for initiative and taking action. 8. Tell me about a situation that [candidate] handled, which was not a success. 9. What is the best advice you can give me for how I can best manage [candidate]? Is there anything else about [him/her] that you feel is important for my overall evaluation of [his/her] potential for success in this position? 10. If given the opportunity to hire [candidate] again for a similar job, would you enthusiastically rehire [him/her]? Additional questions to consider for candidates of senior management positions 11. Describe [candidate]’s management style. 12. How does [candidate] work with other members of the management team? 13. How effective is [candidate] in creating and managing change? Can you give an example? 14. How does [candidate] address performance problems with employees? 15. How does [candidate] handle conflict?
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