REFERENCE CHECK QUESTIONAIRE
Candidate Name
Position
Name of Reference
Title
Relationship
How Long Known?
Confirm Job Title
Confirm Dates of Employment
Consistent with Resume?
Yes
No
Starting Compensation
Compensation at Departure
Did candidate receive bonuses or additional compensation?
Confirm job duties. Are the consistent with the resume?
Reason for leaving position?
Was candidate promoted while at your company?
Using the following ratings: Exceeded Expectations, Met Expectations or Needed Improvement, how would you rank (candidate name) in the following areas?
Work Ethic/Attitude
X
M
N
Attendance/Punctual
X
M
N
Timeliness in completing work
X
M
N
Ability to handle pressure/deadlines
X
M
N
Ability to work as a member of a team
X
M
N
Communication skills (written/oral)
X
M
N
Ability to creatively solve problems
X
M
N
Ability to supervise effectively (How many people supervised?
X
M
N
Overall quality of work
X
M
N
Were there particular strengths that stood out to you?
Were there issues or concerns that arose during employment?
Would you re-hire (Candidate Name)
Yes
No
Is there any addition information you"d like to provide?
Reference check completed by (Name)
*
E-mail
*
Date
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Month
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Day
Year
Date
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