Matthews & Stephens Associates Employer Resource Guide: Reference Check - Staff Level

Employer Resource Guide

Reference Check - Staff Level

Candidate _______________________________ Date _________________
Company _______________________________ Phone # ______________
Contact _______________________________ Title _________________
I have received authorization from _____________ to contact you.
What was your relationship with _____________________________________________
________________________________________________________________________

Employment Verification
__________________stated he/she was employed from ____________ to ___________
(mo/yr) (mo/yr)
Is that correct? _____yes ____no
Who did ________________ report to? _______________________________________
What were _______________________’s major responsibilities?
1. ______________________________________________________________________
2. ______________________________________________________________________
3. ______________________________________________________________________

Performance
What were ____________________________’s strongest points?
1. ______________________________________________________________________
2. ______________________________________________________________________
3. ______________________________________________________________________
On a scale of 1 to 9, how would you rate _________________’s performance? ________
________________________________________________________________________
What were _________________’s most memorable achievements?
1. ______________________________________________________________________
2. ______________________________________________________________________
3. ______________________________________________________________________
Does ____________________ have the ability to inspire at peer level? ______________
________________________________________________________________________
Describe _________________’s stamina level. _________________________________
________________________________________________________________________
How is __________________’s ability for wearing multiple hats?

Reference Check - Staff Level
Does ____________________ have the creativity to originate ideas? ________________
________________________________________________________________________
________________________________________________________________________
What outside influences affected _________________’s ability to do his/her job?
________________________________________________________________________
________________________________________________________________________
What is ___________________’s integrity level? _______________________________
________________________________________________________________________
________________________________________________________________________
Please rate _________________’s interaction with his/her peers and supervisors. ______
________________________________________________________________________
________________________________________________________________________
Please rate _________________’s communication skills, both written and verbal. ______
________________________________________________________________________
________________________________________________________________________
Did __________________ report to work on time? ______________________________
Did __________________ have good attendance? ______________________________
Did __________________ have any problems that interfered with his/her performance?
________________________________________________________________________
________________________________________________________________________
What areas of improvement were needed? _____________________________________
________________________________________________________________________
________________________________________________________________________
Was ____________________’s departure from the company voluntary or involuntary?
______________________________________________________________ Reasons?
________________________________________________________________________
Would you rehire this individual? ____________________________________________
________________________________________________________________________
Any last comments that would reflect on _________________ and thoughts on his/her
abilities. ________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Matthews & Stephens Associates, Inc.
1344 Silas Deane Highway
Rocky Hill, CT 06067
Phone: 860.258.1995
Fax: 860.258.1998