Permanent and Temporary Staffing & Background Screening
About
Services
Staffing
Screening
HR Services
Coaching
Current Positions
Contact
Articles
Permanent and Temporary Staffing & Background Screening
About
Services
Staffing
Screening
HR Services
Coaching
Current Positions
Contact
Articles
Reference Request
Employment Reference
Name
*
First Name
Last Name
Email
*
Company
*
Reference Type
*
Supervisory
Work Related
Personal
Applicant Name
*
What is your relationship to the applicant?
*
Employment Dates / Length of Relationship
*
Describe their duties and responsibilities
*
Describe their personality and character
*
Comment on their work ethic and integrity level
*
How much supervision did they require?
*
How did they get along with peers and supervisors?
*
How do they react when under stress?
*
How do they react if given criticism or feedback?
*
If they make a mistake do they take accountability for it?
*
How many days of work did they miss on average per year?
*
What comes to mind as their strongest attribute?
*
Are their any areas you feel they could improve upon?
*
What was their reason for leaving that job?
*
Did they meet your expectations?
*
Would you hire/rehire them?
*
Compared to others in the same position, how would you rate their overall performance on a scale of 1-10?
*
Initiative
*
Please rate on a scale of 1-5 (5 being the best)
5
4
3
2
1
Pass
Ability to work on a team
*
Please rate on a scale of 1-5 (5 being the best)
5
4
3
2
1
Pass
Attention to detail
*
Please rate on a scale of 1-5 (5 being the best)
5
4
3
2
1
Pass
Productivity / Performance level
*
Please rate on a scale of 1-5 (5 being the best)
5
4
3
2
1
Pass
Adaptability
*
Please rate on a scale of 1-5 (5 being the best)
5
4
3
2
1
Pass
Verbal Communication Skills
*
Please rate on a scale of 1-5 (5 being the best)
5
4
3
2
1
Pass
Punctuality
*
Please rate on a scale of 1-5 (5 being the best)
5
4
3
2
1
Pass
Attendance
*
Please rate on a scale of 1-5 (5 being the best)
5
4
3
2
1
Pass
Maturity / Judgement
*
Please rate on a scale of 1-5 (5 being the best)
5
4
3
2
1
Pass
Reliability & Honesty
*
Please rate on a scale of 1-5 (5 being the best)
5
4
3
2
1
Pass
Do you feel they would be well suited for the position they are applying for?
*
Do you have any additional comments or feedback?
Thank you!
