Reference Check Template

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Reference Check Template This is a template is to be used as a guide. Not all questions listed have to be asked and other questions can be added. Design the reference check to best fit your hiring situation. Please read form prior to conducting a reference check. Complete a form for each supervisor or employer contacted. If possible with reference checks, seek information going back five (5) years. Before contacting any reference, make sure the applicant has given approval on the resume, application or during the interview. _______________________________________is being considered for the position of Applicant’s name _____________________________________with the department and I am trying to Job title verify the employment information he/she provided. I have ________________approval Applicant’s name authorizing us to obtain this information. May I ask you some questions? __________________________________, ____________________________ Name of reference Title 1. From your records, when did _____________________________ begin and end employment with Applicant’s name you? Employed from ________________________ to ____________________ 2. What was his/her job title? _______________________________________ 3. Was he/she a satisfactory employee? Yes Could you elaborate please? No 4. 5. What do you feel are ___________________________’s major strengths? Applicant’s name What do you feel are his/her major weaknesses? 6. What was the reason for leaving your employment? 7. Would you rehire? Yes No 8. Do you personally recommend ________________ for employment? Yes No 9. Is there anything else I should have asked or anything you wish to add? _________________________________________ Date _______________________ Interviewer 1

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