Reference Check Form

Reference Check Form

(all information will remain confidential)
Applicants Name:*
1. How long have you known the applicant?*
2. What is your relationship to the applicant? (relative, friend, employer)*
3. Based in what you know about the applicant, why do you think she or he is interested in home sharing right now?*
4. Please share with us your impressions of this person (we are looking for things such as honesty, housekeeping skills, dependability, ability to compromise, prompt bill payment and personal habits).*
5. If you were interested in sharing a home, would you consider this applicant for a housemate? Please tell us why or why not?*
6. To your knowledge, has the applicant ever had any trouble with the legal authorities? Drug or alcohol abuse problems? Emotional or psychological problems?*
7. Do you have any concerns or reservations about this person sharing a home with another?*
8. Additional Comments:
Name of Reference*
Phone:*
Format: (000) 000-0000.
Email:*
example@example.com
Mailing Address:*
Date:*

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Should be Empty: