Fillable Printable Generic Employee Reference Check Form
Fillable Printable Generic Employee Reference Check Form
Generic Employee Reference Check Form
Employment Reference Check Form
Name Of Applicant:
Company Contacted:
Person Contacted & Title:
___________________ has applied for employment with the University of Pennsylvania. We would like to verify
information that we received from this candidate regarding his/her employment with you.
Could you please tell me his/her dates of employment with your organization? _________________
Were you the immediate supervisor? __________ (If no) Could you please tell me what your professional relationship
was to this individual? ___________________________________________________________
Please describe the duties that this individual performed for your organization:
Please rate this individual on the following criteria:
Poor
Good
Very Good
Excellent
Attendance
Productivity
Quality of Work
Initiative
Reliability
Specialized skills
(For Interviewer) Additional Information:
Please check if employer has policy prohibiting/limiting amount of information provided on former employees.
Interviewer:
Date:
School:
Department:
