Remployee Eference Check Form
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1L o s R i o s C o m m u n i t y C o l l e g e D i s t r i c t
REFERENCE CHECK
Name of Applicant: _____________________________________
Date: ___________________________
Position Applied For: _________________________________
Job Number: ___________________
Person Contacted: _______________________________
Title: ________________________________________
Employer: _____________________________________ Telephone No.: (_______)______________________
1.
What were his/her dates of employment with your firm? From: _____________ To: _____________
2.
What position did he/she hold when starting? _________________ When leaving? ________________
3.
What were some of his/her duties? ______________________________________________________________
4.
He/she claims earnings of $ ________________. Is that about right? ______________________________
5.
How would you rate him/her compared to others in the same job?
Poor
Adequate
Good
Outstanding
6.
What are his/her strong points? ________________________________________________________________
__________________________________________________________________________________________________
Technical Skills: ________________________________________________________________________________
Quality of Work: ________________________________________________________________________________
Quantity of Work: ______________________________________________________________________________
Attendance: ___________________________________ Punctuality: __________________________________
7.
Attitude towards job and/or co-workers: _______________________________________________________
8.
Any weaknesses that you would care to point out? _____________________________________________
__________________________________________________________________________________________________
9.
Was he/she cooperative with other employees? _________________________________________________
10. Would you rehire him/her?
YES
NO
If no, why not? _________________________________
__________________________________________________________________________________________________
11. Are there any other comments you wish to make which would help us in evaluating this applicant?
__________________________________________________________________________________________
________________________________
___________________
Checked by Signature
Date
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Parent category: Life