REFERENCE CHECK FORM – PROFESSIONAL COLLEAGUE
Applicant Name
Position applied for:
Referee’s Name:
Job Title:
Company / Organization
Phone Number
Email Address
Relationship to the Applicant
General questions
How long and in what context have From: To:
you worked with the candidate?
What kind of projects or tasks did
you collaborate on together?
How would you describe the
candidate’s contribution to the team?
How would you describe the
candidate’s work ethic and
professionalism?
What would you say are the
applicant’s strengths?
What would you say are the
applicant’s development areas (eg.
weaknesses)?
Have you had any concerns with
their performance?
If yes, please explain when these
issues were identified. When were
they discussed with the individual?
What work are they doing to
improve and what progress has been
made?
Rating Scale: Please rate the candidate from 1 to 5 where:
1: Poor 2: Fair 3: Good 4: Very Good 5: Excellent
Criteria Rating
Poor Fair Good Very Good Excellent
Punctuality
Poor Fair Good Very Good Excellent
Reliability
Poor Fair Good Very Good Excellent
Professionalism
Poor Fair Good Very Good Excellent
Communication
Poor Fair Good Very Good Excellent
Self-motivation
In closing
Additional Comments:
Signature: __________________ Date: ______________________
Thank you for assisting TIMOR GAP E.P., in identifying an outstanding Candidate.