Do it Yourself Applicant Reference Verification


Posted on May 4, 2012 by admin | in Background Check

APPLICANT REFERENCE VERIFICATION


___________________ has applied for a childcare position and has listed you and/or your company as a former employer or reference.
As part of our pre-employment procedure, your answers to the following questions would be appreciated.

Position Held: ____________________________________ From/To: ______________________

Starting/Ending Salary: ___________________________________________________________

Reason for Leaving: ______________________________________________________________

SECTION ONE

Applicant Name: ___________________________________ Position: Childcare

Social Security #: N/A________________________________ DOB ________________________

Reference Name: _____________________________________Phone: ______________________

Company Name: ______________________________________ Position/Title: _______________

SECTION TWO

What were the overall responsibilities of this individual?

How would you describe or rate this individual’s performance?

Would you recommend him/her for this position? If no, why not?

Would this individual be eligible for rehire? If no, why not?

On average, how many times did the applicant miss work or come in late? Does he/she have any personal problems or bad habits that interfered with his/her job performance?

Whom did the applicant work for prior to joining your company? When hired were his/her references checked? What did the references have to say?

Who else knows the applicant?

Name: Title: Phone:
Name: Title: Phone:
Name: Title: Phone:

Overall Performance (circle):

Exceptional

Very Good

Satisfactory

Some reservation

Unsatisfactory

Comments

Thank you for your assistance in this matter. The reference check form may be mailed to our address or faxed to our fax number.

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