Applicant Reference Form

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Full Name of Applicant

Reference Provided by: (Full Name)

Reference Contact Information

How do you know the applicant and for how long have you known them?

What were/are the applicant's job responsibilities?

Please list a few of the applicant's strengths.

Please list any of the applicant's weaknesses or areas for growth.

Why did the applicant leave your employment?

Would you consider re-hiring the applicant?

Yes

No

How would you rate the applicant in the following areas?

Ability to work with others? (One = Poor / Five = Excellent)

Ability to work unsupervised? (One = Poor / Five = Excellent)

Integrity? (One = Poor / Five = Excellent)

Dependability? (One = Poor / Five = Excellent)

Quality of Work? (One = Poor / Five = Excellent)

Any other comments?

Submit