SAMPLE TELEPHONE REFERNCE CHECK

Concerning a Prospective Employee

My name is (                                        ) and I work in the (department) at Slippery Rock University.  We are filling a position within our department and are considering (name of applicant) for employment as (title of position and brief description of duties.)   (Name of applicant) has authorized me to contact you for a reference on his/her behalf, so could I have a few minutes of your time to ask you a few questions?

Name and title of reference:

What was the nature of his/her job?

How would you rate the quality of his/her work?

What are his/her strong points?  Weak points?

Please comment on the following:

Attendance:

Dependability:

Ability to assume responsibility:

Ability to follow instructions:

Degree of supervision needed:

Overall attitude:

Quantity of work:

Why did he/she leave the position?

Would you reemploy?    Yes                            No                  Why not?

Is there anything else you would like to comment on regarding this applicant’s employment or job performance?

Signature of person completing form:                                                  Date: