Pre-Employment Reference Check Form
Pre-Employment Reference Check Form
CANDIDATE’S NAME:
HIRING DEPT:
POSITION SOUGHT:
ORGANIZATION NAME & LOCATION:
CANDIDATE’S DATES OF EMPLOYMENT CONFIRMED AS:
FROM: TO:
CANDIDATE’S LAST JOB TITLE CONFIRMED AS:
CANDIDATE’S LAST RATE OF PAY CONFIRMED AS:
END OF EMPLOYMENT REASON CONFIRMED AS:
ELIGIBLE FOR REHIRE?
YES NO
NAME OF REFEREE:
PHONE NUMBER:
TITLE OF REFEREE:
RELATIONSHIP TO CANDIDATE:
DESCRIBE THE JOB THAT THE CANDIDATE IS BEING CONSIDERED FOR, AND ASK THE REFEREE TO COMPARE AGAINST
DUTIES PERFORMED IN THE JOB THE CANDIDATE DID FOR THEM:
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