Reference Check Form | Abode Staff

Candidate's Name

First

Last

Candidate's Job Title

Reference Name

First

Last

Reference Title/Position

Reference Email

Reference Phone

Relationship to Candidate

Length of Time Known

Phone of the

Dates the Candidate Worked for you (if applicable)

Reason for Leaving (if applicable)

Please Describe the Candidate's Role & Responsibilities

Strengths of the Candidate

Areas for Improvement

Reliability/Dependability

Interpersonal Skills

Adaptability/Flexibility

Communication Skills

Initiative

Punctuality/Attendance

Any Red Flags or Concerns?

Are you aware of any previous substantiated allegations, sanctions and/or disciplinary action taken against this person?

Are you aware of any current or ongoing allegations or investigations, or of any disciplinary sanctions that remain against this person?

Would you have any concerns about the applicants’ suitability for this type of role?

Additional Comments