Non-Management Reference Check Applicants Name: Person Contacted: Company: What as the applicants relationship to yo!

" Title: Telephone No.: #irect report $ndirect report %ther

&o long as the applicant employed 'y yo!r organi(ation" &o long did yo! s!per)ise the applicant" What as their last position and has he*she held pre)io!s positions ith yo!r organi(ation" What as the scope of responsi'ilities for their last position" $f not similar + pro'e for comparisons to o!r position.

&o o!ld yo! rate the applicants attendance" $s there ad)ance notice, are the a'sences accepta'le gi)en the circ!mstances" &o fre-!ently did he*she re-!est shift changes*loas"

.elo A)erage A)erage A'o)e A)erage Comments:

&o o!ld yo! rate the applicants p!nct!ality"

.elo A)erage A)erage A'o)e A)erage Comments:

&o o!ld yo! rate the applicants /o' performance" Ask specifically a'o!t initiati)e, follo thro!gh, acc!racy of ork, effecti)e comm!nication, paper ork, moti)ation, team ork.

.elo A)erage A)erage A'o)e A)erage

&o does he*she compare to others that yo! ha)e s!per)ised in this position" 0key strengths*areas for de)elopment1 To hat degree as there a need to s!per)ise this applicant"

#o they ha)e any discipline on their file. $f yes, hat as the nat!re of the incident that arranted discipline" Why did the applicant lea)e yo!r organi(ation" Ret!rn to school .etter %pport!nity Comm!ting $ss!es &o!rs of Work Career Change #o nsi(ed Released d!e to performance. %ther

Wo!ld yo! rehire the applicant" $f no, hy not"

Additional Comments:

#ate:

Completed 'y:

3 Title: