Reference Verification
Please complete this form when completing a reference verification
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Name of Applicant *
First and last name
Name of Reference *
Professional Role of Reference (supervisor, coworker) *
Describe the position the applicant had with your company? *
Describe the applicants work ethic.
What were the applicants strengths in the position?
What were the applicants weaknesses you were working on with him/her?
Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas:  Attendance *
Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas:  Punctuality *
Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas:  Teamwork *
Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas:  Professionalism *
Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas:  Ability to get along with others *
Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas:  Attention to Detail *
Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas:  Flexibility *
Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas:  Kindness to seniors *
Rank the applicant on a scale of 1 (lowest ranking) to 5 (highest exemplary ranking) in the following areas:  Ability to take correction *
Would you rehire this applicant again?
Is there anything else you would like to tell us about this applicant?
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