Employment Reference Questionnaire Template

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Employment Reference Questions
DATE
APPLICANT
POSITION
PERSON CONDUCTING REFERENCE CHECK
CLASSIFICATION
PERSON CONTACTED
TITLE
RELATIONSHIP TO CANDIDATE
DEPARTMENT/COMPANY
The following are suggestions when conducting reference checks:
1. Explain what duties/classification the incumbent is being considered for.
2. Verify the employment information provided by the applicant.
_________________________________stated that he/she worked for your Department/company in
NAME
the_______________________ as a ___________________________ from ________________________
SECTION
POSITION
BEGINNING DATE
to ______________________________.
ENDING DATE
His/ He states theirduties included:
Is this correct? If not, please explain.

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