Reference Checklist

Candidate:

Position Applied For:

Person Contacted:

Company:

Telephone:

Relationship to Candidate:

Start Date of Employment:

YYYY

End Date of Employment:

YYYY

1. What was the nature of his/her position?

2. How would you rate the quality and quantity of his/her work?

3. How did he/she carry out his/her responsibilities?

4. How did he/she get along with others?

5. What are his/her strong points?

6. What are his/her weak points?

7. What are his/her reasons for leaving

8. Would you re-employ him/her? Why or why not?

Reference completed by:

Title:

Date completed:

YYYY