HR
Employment Reference Check Form
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Candidate & Reference Information
Employment Verification
Dates of Employment | From ___________________ To _____________________ |
Job Title | _____________________________________________ |
Key Responsibilities | _____________________________________________ |
Reason For Leaving | _____________________________________________ |
Performance Rating | _____________________________________________ |
Key Achievements | _____________________________________________ |
Assessment & Recommendation
Overall Recommendation
Would you rehire this candidate?
☐ Yes, Without Reservation
☐ Yes, With Some Reservation
☐ No
Suitability for Role:
☐ Highly Recommended
☐ Recommended
☐ Not Recommended
Additional Comments:
________________________________________________________________________________________________________________________________________________________________________________________________
HR Verification
Reference Check Conducted By: __________________________________________
Method: ________________________________________________________________
Verification Status
☐ Complete
☐ Pending Follow-up
☐ Unable to Verify
Internal Notes:
________________________________________________________________________________________________________________________________________________________________________________________________
Confidentiality Notice: This reference check is confidential and intended solely for employment verification purposes. Information collected will be maintained in accordance with applicable privacy laws and organizational policies.
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