Telephone Reference Check Form
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1Telephone Reference Check Form
Purpose: A reference check is a valuable tool in the recruitment process to verify facts and obtain additional information about the
candidate. All sections should be completed to be considered a valid reference. Indicate N/A if the question is not applicable.
DO NOT CONDUCT A CHECK WITHOUT A COMPLETED APPLICATION.
NO applicant may be recommended for a final interview without appropriate number of reference forms attached.
Applicant Name: __________________________
Date of Reference Check: ____________________MISD Employee Checking Reference: _______________
Reference Name: ___________________________________ Reference Organization: ________________
Relationship to Applicant: Supervisor Peer Other (Specify) __________________________________
Position(s) Held:
What was the nature of the applicant’s job duties?
Voluntary
Involuntary
Reason for Separation:
Give Explanation:
Please rank the candidate based on the following areas:
Responds to Supervision
Poor
Fair
Good
Very Good
Excellent
N/A
Communication Skills
Poor
Fair
Good
Very Good
Excellent
N/A
Attendance
Poor
Fair
Good
Very Good
Excellent
N/A
Problem solving skills
Poor
Fair
Good
Very Good
Excellent
N/A
Willingness to assume responsibility
Poor
Fair
Good
Very Good
Excellent
N/A
Ability to follow instructions
Poor
Fair
Good
Very Good
Excellent
N/A
Observance of work rules
Poor
Fair
Good
Very Good
Excellent
N/A
Overall job performance
Poor
Fair
Good
Very Good
Excellent
N/A
Additional Questions:
If you experienced any difficulties, were they discussed with the employee? Was there improvement?:
How well did the applicant relate to others on the job?
What are the candidate’s strong points?
What are the candidate’s weak points?
Yes
No
If given the opportunity, would you re-employ this individual?
Any additional comments?
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0 votes
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Parent category: Business