Appendix Code Revision

TELEPHONE REFERENCE CHECK

(no previous employer) Effective Date Page
Page 1 of 1

Applicant’s Name: ________________________________________________

Contact Person: ________________________________________________
Telephone Number: ________________________________________________

1. How well do you know Mr./Ms. __________________________________

2. How long do you know him/her? _________________________________
3. Can you describe him/her as a person
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4. Would you comment on his/her :
Dependability
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Ability to get along with others
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Ability to accept responsibilities
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5. If given the opportunity, would you hire him/her in you company? Why?
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6. What would you consider as her/his strongest points?

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7. Where could she/he improve?

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8. Other comments
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Interview conducted by: _____________________________________________

Date: ___________________________________________