Reference Check Form REFERENCE CHECK FORM Applicant Name by ReadyBuiltForms

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A document that provides a form to list all personal and employment references

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									                                 REFERENCE CHECK FORM


Applicant Name: _____________________________________          Position: _____________________

Personal references checked:

Name:          ______________________________       Relationship: _______________________________
Address :      ______________________________________________________________________________
Telephone:     _____________ Date contacted: _____________ Method of contact: ___________________
Notes:________________________________________________________________________________________
___________________________________________________________________________________________

Name:          ______________________________       Relationship: _______________________________
Address :      ______________________________________________________________________________
Telephone:     _____________ Date contacted: _____________ Method of contact: ___________________
Notes:________________________________________________________________________________________
___________________________________________________________________________________________

Name:          ______________________________       Relationship: _______________________________
Address :      ______________________________________________________________________________
Telephone:     _____________ Date contacted: _____________ Method of contact: ___________________
Notes:________________________________________________________________________________________
___________________________________________________________________________________________

Employment references checked:

Name:            ______________________________ Employer: ______________________________________
Relationship: ________________________ Dates of employment: _______________Pay: __________________
Address :        ______________________________________________________________________________
Telephone:       _____________ Date contacted: _____________ Method of contact: ___________________
Would you rehire? ___________ Reason for termination: ___________________________________________
Notes:________________________________________________________________________________________
___________________________________________________________________________________________

Name:            ______________________________ Employer: ______________________________________
Relationship: ________________________ Dates of employment: _______________Pay: __________________
Address :        ______________________________________________________________________________
Telephone:       _____________ Date contacted: _____________ Method of contact: ___________________
Would you rehire? ___________ Reason for termination: ___________________________________________
Notes:________________________________________________________________________________________
___________________________________________________________________________________________

Name:            ______________________________ Employer: ______________________________________
Relationship: ________________________ Dates of employment: _______________Pay: __________________
Address :        ______________________________________________________________________________
Telephone:       _____________ Date contacted: _____________ Method of contact: ___________________
Would you rehire? ___________ Reason for termination: ___________________________________________
Notes:________________________________________________________________________________________
___________________________________________________________________________________________

Records checked:

   School records (date requested: ____________) Notes: ___________________________________________
   Criminal records (date requested: ____________) Notes: ___________________________________________
   Driving records (date requested: _____________) Notes: ___________________________________________
   Credit records (date requested: ______________) Notes: ___________________________________________

								
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