Reference Check Form

REFERENCE CHECK QUESTIONNAIRE Candidate Name: [Full Name] Position Applied For: [Role Title] Reference Information: Reference Name: [Full Name] Job Title: [Reference's Title] Company: [Company Name] Phone: [Phone Number] Email: [Email Address] Relationship to Candidate: [Direct Manager / Peer / Direct Report / Client] How Long Have You Known the Candidate?: [Years/Months] Reference Check Conducted By: [Your Name] Date: [DD/MM/YYYY] Method: [Phone Call / Video Call / Email] SECTION 1: EMPLOYMENT VERIFICATION Employment Dates: ☐ Verified ☐ Discrepancy — [Details] Job Title: ☐ Verified ☐ Discrepancy — [Details] Reason for Leaving: ☐ Verified ☐ Discrepancy — [Details] Would you rehire this person?: ☐ Yes ☐ No ☐ Under certain circumstances — [Explain] SECTION 2: PERFORMANCE ASSESSMENT 1. What were the candidate's primary responsibilities? [Response] 2. On a scale of 1-10, how would you rate their overall performance compared to peers? Rating: ___ / 10 — [Elaboration] 3. What were the candidate's greatest strengths or most valuable contributions? [Response — probe for specific examples with measurable outcomes] 4. What areas needed improvement or development? [Response — probe for specifics rather than general statements] 5. How would you describe the candidate's work style and attitude? [Response — reliability, professionalism, initiative, teamwork] 6. How did the candidate handle constructive feedback or criticism? [Response — growth mindset vs. defensiveness] 7. How did the candidate perform under pressure or tight deadlines? [Response — probe for specific high-stress situations] 8. Describe the candidate's relationship with team members and stakeholders. [Response — collaboration, conflict resolution, communication] 9. Did the candidate demonstrate leadership or mentoring abilities? [Response] 10. Was the candidate consistently reliable in attendance, punctuality, and commitments? [Response] SECTION 3: BEHAVIOURAL PROBES Tell me about a time the candidate faced a significant challenge. How did they handle it? [Response] Can you describe a situation where they went above and beyond? [Response] Were there any instances of policy violations, attendance issues, or conflicts? [Response] SECTION 4: OVERALL ASSESSMENT What type of role or environment would this candidate thrive in? [Response] Is there anything else we should know? [Response] On a scale of 1-10, how strongly would you recommend this candidate for [Role Title]? Rating: ___ / 10 Summary Notes: [Key takeaways, red flags, positive points, overall recommendation] ☐ Reference check passed | ☐ Passed with concerns | ☐ Failed Completed By: _______________________ Date: _______________________