REFERENCE  CHECK  FORM

Candidate’s Name :

Designation interviewed for :

• Reference Name:

Company Name:

Company Address:

Company Contact Number :

Dates of Employment :

• Questions:

• Please describe your reporting relationship with the candidate? If none, in what capacity

     did you observe the candidate’s work?

• Reason for Leaving:
• Please describe the key responsibilities of the candidate in his/her most recent position.
• Tell us about the candidate’s important contributions
• Describe the candidate’s relationships with his/her coworkers, reporting staff (if

     applicable), and supervisors.

• Talk about the attitude and outlook the candidate brought to the workplace.
• How many reporting staff did the candidate manage? Their roles? (if applicable)