DANR Sample Reference Checking Form

Date: __________________ Job Number: ____________ Applicant: _________________________________ Reference Checked By: ______________________

Name of Reference: itle:

Company: !hone:

"hat #a$ your relation$hip #ith the applicant% Did you directly $uper&i$e her'him%

"hat #a$ the applicant($ title% Date$ of employment% Salary% "hat #ere the applicant($ ma)or )ob dutie$%

*o# #ell did the applicant relate to other$ on the )ob%

*o# #ould you e&aluate the applicant($ #ork +uality and +uantity ,producti&ity-%

"hat #ere $ome of the applicant($ $trength$%

.n #hat area$ did the applicant need impro&ement%

*o# #ould you e&aluate the applicant($ #ork habit$ $uch a$ attendance/ punctuality/ dependability/ and ob$er&ance of #ork rule$%

"hat #a$ the applicant($ rea$on for lea&ing%

"ould you rehire the applicant% Section to probe further about $pecific )ob0related e1perience and $kill$/ kno#ledge and abilitie$ $uch a$: communication/ $uper&i$ion/ financial/ analytical/ contract and grant$ admini$tration/ cu$tomer $er&ice/ etc2