Professional Reference Check

Applicant Name:                                                                 Position:

Employer Name:                                                                Spoke with:

Reference Given By:                                                         Number:

Hire date

Pay Rate:

Reason for Leaving:

Job Title:

Duties:

Ability to communicate with clients?

Ability to Get Along with Co-Workers:

Quality & Accuracy of Work:

Quantity of Work:

Areas of strength:

Areas of weaknesses:



Attendance:

Areas of additional training:

Comments:

HR Staff Signature:                                                                          Date:

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