ࡱ> RVQK bjbj*S*S 4>H94iH94i vvD`t+v+x+x+x+x+x+x+$-W0+++ v+v+(|V*^ Z)b++0+l)00$V*0V* +++0vX :  911 REFERENCE CHECK FORM Candidates Name: ____________________________________ Date: _______________________________ References Name: ____________________________________ Phone Number: _____________________ Persons Conducting Reference Check: ___________________________________________________________________________ This is _______________ from 911. This candidate (name) has applied for ______________________ position, and has given your name as a reference. If this is a good time for you, wed like to ask you a few questions (if not, set up a better time to do the reference check). With me is ____________________, and if its all right with you, Ill put you on speakerphone. Please describe the nature of your working relationship with the candidate (supervisor, coworker, subordinate, etc.) and for how long youve known them. What were (are) the candidates duties and responsibilities? How would you describe his/her performance? (Describe the posted position). Based on the description of these duties and responsibilities, how would you describe the candidates overall ability to perform in this position? Please rate in the following areas (scale: Met expectation, Did not meet expectation, Doesnt Apply) Skill:Place a check in the appropriate box:Met expectationDid not meet expectationDoesnt applyAbility to prioritize and meet deadlinesVerbal and written communication skillsMotivation and initiativeAppropriate assertivenessJudgmentWillingness to take direction or suggestionsHonesty/IntegrityReliability/DependabilityCustomer Service SkillsTeam work Please tell us about any work habits that affected the candidates job performance such as punctuality, attendance, sense of responsibility, professionalism, attitude, etc. Please describe the candidates working relations with co-workers, the public, and supervisors. How well do you think the candidate will interact with his/her colleagues (such as faculty, students, administration?) Did the candidate comply with company policies and procedures? If you were an employer and had a job opening for which this candidate was qualified would you hire them? Is there anything else you would like to add that we have not covered already? 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