Appendix Code Revision
TELEPHONE REFERENCE CHECK
(previous employer)
Effective Date Page
Page 1 of 1
Applicant’s Name:
Contact Person:
Telephone Number:
1. What was his/her last position? upon hiring?
2. Can you give as an estimate of his/her salary ?
(or confirm if stated) Is that correct? Yes __ No ________
3. Could you give us the dates of his/her employment with your company?
From ___________ To __________; Regular : Contractual /Temporary
4. How long do you know him/her?
5. Can you comment on the following:
Dependability
Ability to get along with others
Ability to accept responsibilities
On punctuality/ attendance
6. Which of his/her job assignments did he/she performs best?
7. Describe the quality of his/her work?
8. What was his/her reason for leaving the company?
9. If given the chance, would you re-employ him/her?
Interview conducted by: __________________________________________
Date: ___________________________________________