Date:
|
Person Contacted:
| Phone Number:
|
Company Contacted:
| Title:
|
Reference Check made by:
| Relationship:
|
| When did (name of applicant) work for your company? |
From:
| To:
|
What was his/her position title?
|
Was (name) promoted while with your company?
Yes No |
He/She states that his/her salary was
Is this correct?
Yes No |
| What information can you give concerning: |
Quality/quantity of work:
|
Attendance:
|
Did she/he get along well with management and co-workers?
Yes No |
Did (name) supervise other employees?
Yes No |
How would you describe (name’s) management style?
|
Can you describe this person’s experience working as a member of a team?
|
How did (name) handle conflict?
|
Did you formally evaluate (name’s) performance?
Yes No |
What were his/her strong points?
|
Weak points?
|
What was noted as needing improvement during the performance review?
|
Did you consider him/her to be honest?
Yes No |
Why did he/she leave your company?
|
Would you rehire with your company?
Yes No |
If not, why?
|
Is there anything I haven’t asked you that you would like to share with me?
|