REFERENCE CHECK FORM

APX Reference check form

Name Of Applicant:*

Enter your full name

Date:*

Position:*

Reference Checked By:*

Name Of Referee:*

Position / Title:*

Company:*

Telephone Number:

Email:*

Questions:

1. (Applicant Name) states in his/her application that he/she worked with you as a (details). Can you verify this?*

2. Why did he/she leave your company?*

3. Did he/she have a good attendance record? (Question punctuality, reliability)*

4. What were the main duties and responsibilities carried out by him/her?*

5. How would you describe his/her technical skill in this job?*

6. How would you describe his/her management approach? (If applicable)*

7. How would you assess his/her performance in the job? Consider:
- Were there any areas in which he/she performed especially well?
- Were the any areas in which he/she failed to meet expectations?*

8. How would you describe his/her –

Organizational skills*

Time management*

Attention to detail*

Customer service skills*

9. How would you describe his/her attitude to work?*

10. How would you describe his/her ability to work in a TEAM environment?*

11. How did he/she work under pressure / handle stress?*

12. How would you describe his/her attitude to change? Is he/she flexible?*

13. How did he/she demonstrate initiative?*

14. Does he/she have any weaknesses?*

15. Given the opportunity, would you re-employ him/her in an appropriate role?*

16. (Describe the job requirements, working conditions and role expectations)
Do you believe he/she would work well in this position? Why / Why not?*

17. Any additional comments?*

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