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Reference Check
Job Seeker Name
*
Job Seeker Name
First Name
Last Name
Your Name
*
Your Name
First Name
Last Name
Email Code that was Sent to You
*
Company You Worked at Together
*
Your Contact Phone Number
*
Your Email
Your State
*
Your City
*
Your Relationship with Job Seeker
*
Manager
Coworker
Personal Reference
One Word or Sentence that Best Describes the Job Seeker
Job Seeker's Primary Job Duties
*
Job Seeker's Reason For Leaving
*
Quality of Work
*
Excellent
Good
Poor
N/A
Meets Workload Responsibilities
*
Excellent
Good
Poor
N/A
Legal Ability
*
Excellent
Good
Poor
N/A
Ability to Deal with Difficult Situations
*
Excellent
Good
Poor
N/A
Ability to Solve Problems
*
Excellent
Good
Poor
N/A
Ability with Technology Tools
*
Excellent
Good
Poor
N/A
Professional Appearance
*
Excellent
Good
Poor
N/A
Attendance and Punctuality
*
Excellent
Good
Poor
N/A
Would you rehire the candidate?
*
Yes
No
N/A
If no, please give reason:
Is there anything else that would help us form a better understanding of the Job Seeker?
Thank you for your submission.