Telephone Reference Check Form
Candidate Name Position
Reference Name Title
Company Contact Information
Relationship to Candidate How long known?
(Candidate Name) has applied to (Your Company) for a position of (Position Title) and he/she
have provided your name as a reference. Is this a good time to talk or would another time be
more convenient? Here is a brief overview of the responsibilities of the position:
First, I’d like to verify some basic information:
What were the candidate’s dates of employment?
What was the candidate’s job title and key responsibilities?
What do you consider the candidate’s biggest accomplishment with your company?
What do you consider this candidate’s key strengths?
What would have made this candidate more effective?
Why did the candidate leave your organization?
What was his/her salary level when he/she left the organization?
Take a moment and summarize below the key responsibilities of this position. Ask your
reference to comment on the various responsibilities and his/her opinion regarding the
candidate’s ability to fulfill the responsibilities of the position.
Would you rehire this candidate in the future? If not, why not?
What haven’t we covered that you think would be valuable for us to know?
References checked by:
Date: