Document # HR-

CANDIDATE BACKGROUND Revision No:

CHECK Release Date: Oct 1st, 2021

Review Date: March 15th., 2022

CANDIDATE NAME

Position applied for:

Reference Name:
Date reference completed:

Reference Contact # Reference Contact email:

Company Name Position held:

Please complete the following background check as it relates to your direct and personal
knowledge of the Candidate.

Question 1: How long were you acquainted with the individual?

Question 2: Were you acquainted with the applicant in a personal or professional capacity? Please
give details

Question 3: Are you aware of any issues the applicant would of had in his previous employment?

Question 4: Does the applicant get along well with his peers? Tell me about the attitude.
Question 5: How does the applicant handle conflict, pressure and stress?

Question 6: How would you describe the temperament of this individual?

Question 7: Are you aware of any issues with drugs and alcohol this applicant might have?

Question 8: Kindly state some good qualities of this applicant?

Question 9: Is there anything that you would like to share with me that has not yet been asked?

Thank you for taking the time to complete this reference check!
 Document # HR-
CANDIDATE BACKGROUND Revision No:
CHECK Release Date: Oct 1st, 2021

Review Date: March 15th., 2022

CANDIDATE NAME

Position applied for:

Reference Name:
Date reference completed:

Reference Contact # Reference Contact email:

Company Name Position held:

Please complete the following background check as it relates to your direct and personal
knowledge of the Candidate.

Question 1: How long were you acquainted with the individual?

Question 2: Were you acquainted with the applicant in a personal or professional capacity? Please
give details

Question 3: Are you aware of any issues the applicant would of had in his previous employment?

Question 4: Does the applicant get along well with his peers? Tell me about the attitude.
Question 5: How does the applicant handle conflict, pressure and stress?

Question 6: How would you describe the temperament of this individual?

Question 7: Are you aware of any issues with drugs and alcohol this applicant might have?

Question 8: Kindly state some good qualities of this applicant?

Question 9: Is there anything that you would like to share with me that has not yet been asked?

Thank you for taking the time to complete this reference check!