Employment Reference check Date * MM DD YYYY Completed by * Please enter the details name of the person completing this form First Name Last Name Candidates name * Please enter the details name of the applicate First Name Last Name Date of birth * MM DD YYYY Previous Employer Reference provided by: Relationship to applicant: Supervisor Manager Other If 'Other' was selected please provided information below ADDITIONAL QUESTIONS FOR THE CANDIDATES DIRECT SUPERVISOR What are/were the responsibilities of the position? * Is/was their attendance record acceptable? * Yes No Are/were they on-time and dependable? * Yes No Do/did they handle conflict well? How about pressure? Stress? * Yes No How would you describe their style of communication and its effectiveness? * How do/did they respond to critical feedback? * Do/did they follow through on work assignments in a timely manner? Please describe: * Is there anything else I should take into consideration? * Thank you, your inormatio has been submitted.
