Telephone Reference Check Form

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16/19 EXAMPLES

Text in this Example:

Company Name
YOUR LOGO HERE
Applicant Information
Contact Information
Reference Comments
Telephone Reference Check Form
Telephone Reference Check
Applicant Name:
Date:
Last
First
M. I.
Position Applied for:
Recruiter Name:
Name of Contact:
Title:
Phone:
Company:
Address:
Street Address
Apartment/Unit #
City
State
Zip Code
Was the applicant an employee of your company?
When?
START DATE:
END DATE:
What was the applicant's position on the last day of employment?
What were the applicant's job responsibilities?
What are the applicant's strengths?
Weaknesses?
Page 1
Page 2
How would you characterize the applicant's problem solving skills?
How would you characterize the applicant's technical skills?
Did the applicant work on multiple projects at once? If so, how did he/she handle it?
Please describe a time when the applicant had a conflict with a co-worker. How did he/she handle it?
What was the applicant's reason for leaving your employ?
Would you rehire this applicant?
Is there anything else you would like to add?
Thank you for your time and assistance.