Fillable Reference Check Outline Form printable pdf download

Reference Check Outline Form

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REFERENCE CHECK OUTLINE

Position to be filled:__________________________________________________________

Name of applicant: __________________________________________________________

Name of reference contact:_____________________________________________________

Relationship to applicant:______________________________________________________

Company Name:_____________________________________________________________

Telephone Number: (________)_____________________________________________

EMPLOYMENT HISTORY VERIFICATION

Title:______________________________________________________________________

Dates of Employment: From______________________

To:__________________

Duties and responsibilities:_____________________________________________________

___________________________________________________________________________

‫ٱ‬

Eligible for rehire?

Yes

If no, please explain: __________________________________________________________

___________________________________________________________________________

REFERENCE DATA

Comments on:

Ability to take on responsibilities –

Degree of supervision needed –

Attendance –

Quality/quantity of work –

Ability to work with others –

Strengths ( in relation to job) –

Limitations ( in relation to job) –

Other qualifications particular to this job –

Signature:_____________________________________________

Date:___________________

Reference Check Outline Form

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