Applicant Reference Check
Applicant's Name:
*
First Name
Last Name
Date
*
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Month
-
Day
Year
Date
How long have you known the applicant?
What is/was your relationship with the applicant?
What can you tell me about the applicant's personality?
What can you tell me about the applicant’s work ethic?
How reliable is the applicant?
What can you tell me about the applicant's ability to get along with peers and supervisors?
What are the applicant's strengths?
What areas can the applicant improve upon?
What else can you tell me about the applicant?
If provided the opportunity, would you hire/re-hire the applicant? Why or why not?
Employment Reference
If you are verifying the applicants employment, please fill in the information below.
Can you verify the applicants dates of employment?
Can you verify the applicants Title?
Completed By:
*
First Name
Last Name
Signature
Submit
Should be Empty: