SAMPLE REFERENCE CHECKING FORM
(Verify that the applicant has provided permission before conducting
reference checks.) Explain the reason for your call and verify the information
with the supervisor (including the reason for leaving)
Dates of Employment: From: To:
1. Describe the type of work for which the candidate was responsible.
2. How would you describe the applicant's working relationship (with
3. How would you describe the applicant's attitude toward work?
4. How would you describe the quantity and quality of the applicant's
5. What were the applicant's strengths on the job?
6. What areas did you think the applicant needed to improve/further
7. If you had a position open for which the applicant was qualified,
would you rehire him/her?
Why or why not?