HTML Preview Employment Reference Verification Form page number 1.
Reference Check Template [month/year] Page 1 of 2
[insert organisation name/logo]
Employee Reference Check Form
Name of Applicant:
Person Contacted:
Company:
Position/Title: Phone:
Relationship to applicant:
1. How long has it been since you last spoke with the applicant? (Were you aware they
had put you down as a referee for this application?)
2. What were the dates of his/her employment with you?
3. What was the nature of his/her job? (Describe position applied for - Do you think they
would suit this sort of role)
4. How would you describe his/her performance in comparison with other people?
5. Why did he/she leave your company?