Employee Reference Check

Today's Date

Applicant's Name (required)

Your Name (required)

Company

Address

City

State

Zip Code

What is your relationship to the candidate?

How long have you known the candidate?

What were the main job duties or responsibilities of the candidate?

What would you say are the candidate’s strengths?

In what areas can the candidate continue to improve?

How would you describe the candidate’s ability to communicate?

How would you describe the candidate’s ability to get along with co-workers?

How would you describe the candidate’s ability to get along with supervisors/managers?

Would you say the candidate is
An individual contributorTeam orientedOther

Please rate the candidate on a scale of 1 to 10 with 1 being Very Poor and 10 being Excellent:
Deadlines and Productivity 12345678910N/A

Attendance 12345678910N/A

Accuracy and Quality of Work 12345678910N/A

Organization and Planning 12345678910N/A

Computer Knowledge 12345678910N/A

Initiative and Reliability 12345678910N/A

How does the candidate handle conflict situations?

Is the candidate eligible for rehire at this time? YesNo

Would you recommend this candidate for this type of position? YesNo

Were there any serious problems with the candidate that we need to be aware of before making a hiring decision?

Do you have any additional information to share with us about this candidate?