Fill and Sign the What is a Personal Reference the Balance Careers Form

REFERENCE CHECK FORMAT FORM Introduce yourself and explain your purpose:  “My name is_______________. I am a (working title) _______________at Insert Name of Company.  We are interviewing for a vacant _______________ position in the _______________ department.  (candidate name) _______________ is one of the candidates being considered for this position.  (He/she) has named you as a reference and has given us permission to contact you. Are you available to answer some job-related questions about (him/her)? (If yes, continue) 1) In what capacity have you known or worked with _______________? 2) How long have you known (him/her)? _______________ How long have you worked with him/her? _______________ (Or you can state the job title, employment dates, and job duties specified in the application, and ask for verification) A.) Verify salary: _______________ B.) Where appropriate, check/verify educational degrees: _______________ I’d like to briefly describe the duties of position for which he/she has applied. They include: (Describe the focus/area of the job and/or key duties.) a) b) c) d) e) 3) Based on this job description, will you please assess the candidate in relation to the following required, job- related skills and abilities. On a scale of 1 to 10, with 1 being lowest and 10 being highest, how would you rate (him/her) on the following: (List the most important advertised skills, knowledge, and abilities) Rating a) b) c) d) e) f) Candidate’s Name: Date and Time: Name of Reference: Reference’s Phone Number: 4) Would you like to add any comments in relation to these required skills? ______________________________________________________________________ ____________________________________________________________________________________________________________________________________________ 5) What are this individual’s strength’s and weaknesses?Strengths: Weaknesses a) a) b) b) c) c) d) d) 6) If you had a position vacancy, would you re-hire this individual? ______________________________________________________________________ ____________________________________________________________________________________________________________________________________________ 7) Due to increased concern about violence in the workplace, it is our company’s practice to ask the followi ng question for all persons being considered for hire: “Did you ever observe or notice in this individual a tendency toward violent behav ior?” Record Answer: ______________________________________________________________________ Close the interview: That was the last of our questions. We want to thank you very much for your time and assistance in our recruitment effort.