Employee Reference Check printable pdf download

ACCREDITED SUPPORTS TO THE COMMUNITY

Employee Reference Check

APPLICANT: ____________________________________________________________________________________

CANDIDATE FOR:

_____________________________________________________________________________

DATE: _________________________________

CHECKED BY: _____________________________________

ORGANIZATION NAME:

______________________________________________________________________

LOCATION:

_________________________________

TELEPHONE: _______________________________

PERSON CONTACTED: ___________________________________________________________________________

RELATIONSHIP TO APPLICANT: __________________________________________________________________

1. Was the applicant employed by your business? Yes (from _____________ to ____________ ) No

How long have you known the applicant? ____________________________________________________

2. When you hear the name___________________________ what thoughts come to mind? ___________________

___________________________________________________________________________________________

3. What was the applicant’s position and responsibilities? (Particular specifications)

___________________________________________________________________________________________

4. What promotional opportunities existed and what potential was seen?

___________________________________________________________________________________________

5. Under what circumstances did the applicant leave your employment?

___________________________________________________________________________________________

Whose decision was this? ______________________________________________________________________

C:\Users\Administrator\Documents\Data\Policy and Procedures\Forms\Approved Forms\Employee Reference Check.docx

A: April 13, 2004

Employee Reference Check