Employer Reference Form
Applicant's Name
Reference's Name
Company
Position / Title
Phone
Relationship to Applicant
How long and in what capacity have you known the applicant?
Can you confirm that the tenant was/is emplpoyed at this company?
Were you aware they put you down as a reference for this application?
What were the dates of the applicant's employment with you?
What was the applicant's monthly salary?
What was the nature of the applicant's job? Did you feel the applicant suited this sort of role?
What are the average hours worked?
How would you describe the applicant's performance in comparison with others that have performed the job?
If applicable, why did the applicant leave your company?
Would you re-employ this applicant?
Select one...
Yes
No
What are some of the applicant's strong points?
What are some of the applicant's limitations?
Does the applicant work with their coworkers and/or clients well?
Please rate the following on a scale of 1-5: (1=Very Poor, 5=Exceptional)
Attendance
1
2
3
4
5
Dependability
1
2
3
4
5
Responsibility
1
2
3
4
5
Conflict Resolution
1
2
3
4
5
Advancement Potential
1
2
3
4
5
Overall Attitude
1
2
3
4
5
Degree of Supervision Required
1
2
3
4
5
Is there anything else you can share that may help us reach a good decision?
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