Referee Report Form

Candidate Name:
Date:
Position:
Referee Name:

Please answer the following questions providing brief examples where possible. If there is an
area you have not observed in your working relationship with the candidate, please indicate
that this is the case and skip to the next question.

All Information provided will be kept strictly confidential.

In what capacity did you work with the candidate (e.g., peer, colleague, supervisor)?

What were the candidate's position and responsibilities?

What was the candidate’s reason for leaving your organization?

How would you describe the candidate’s overall job performance in your organization?

What were the candidate’s strengths? What were the candidate’s weaknesses or areas
the candidate could improve?

Can you tell me about the candidate’s flexibility with regard to job tasks and working

Source: DevConcepts PH 1
 conditions?

How would you describe the candidate’s relationships with co-workers, subordinates, and
supervisors?

How would you describe the candidate’s honesty and integrity?

Is the candidate qualified for re-hire in your organization?

Source: DevConcepts PH 2