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Tailored Workforce Pty Ltd
REFERENCE CHECK FORM
Applicants Name:
Company
Person Contacted
Title
Phone No.
Dates of employment
Position held
Reason for leaving
Main Duties/responsibilities:
What was your impression of his/her Performance at
work?
In what areas did He/She excel in?
What was His/Her commitment to Occupational Health
and Safety?
How did He/She react to positive and negative
feedback? Give examples.
How did He/She deal with pressure?
Any Injury’s whilst working with your company?
How would you describe His/Her customer service and
communication skills?
What areas required improvement?
From your experience what type of management style
does he/she respond to best?
Did he have the Ability to: Answer:
Learn New Tasks & Carry out Instructions:
Plan Ahead & Be Flexible:
Get along with others including:
Colleagues/Managers/Customers.
Work without supervision or as part of a team:
Avoid personal issues at work:
Punctuality & Honesty:
Quality of work:
Attention to detail:
Attendance & Presentation:
Would you rehire? Y/N Why?
Notes

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Reference Check - Template

  • 1. Tailored Workforce Pty Ltd REFERENCE CHECK FORM Applicants Name: Company Person Contacted Title Phone No. Dates of employment Position held Reason for leaving Main Duties/responsibilities: What was your impression of his/her Performance at work? In what areas did He/She excel in? What was His/Her commitment to Occupational Health and Safety? How did He/She react to positive and negative feedback? Give examples. How did He/She deal with pressure? Any Injury’s whilst working with your company? How would you describe His/Her customer service and communication skills? What areas required improvement? From your experience what type of management style does he/she respond to best?
  • 2. Did he have the Ability to: Answer: Learn New Tasks & Carry out Instructions: Plan Ahead & Be Flexible: Get along with others including: Colleagues/Managers/Customers. Work without supervision or as part of a team: Avoid personal issues at work: Punctuality & Honesty: Quality of work: Attention to detail: Attendance & Presentation: Would you rehire? Y/N Why? Notes