Employment reference

Reference Check

Used to provide a third-party account of an individual's personal attributes and character traits. This form helps us understand an applicant's reliability, integrity and overall character.

This form does not automatically collect your name or email address. Fields marked * are required.

1Referee & applicant details

Applicant Name *

Referee Name *

Company Name *

Referee Role *

2Employment

What were the dates of their employment? *

Start date

End date

Still employed with us

What is/was the applicant's role in your company? *

3Performance

How would you describe the applicant's overall work performance? *

What would you say are the applicant's strengths? *

What would you say are the applicant's development areas (e.g. weaknesses)? *

Have you had any concerns about their performance? If yes, please explain what work they are doing to improve and what progress has been made. *

4Ratings

Rate each from 1 (poor) to 5 (excellent).

5Care & conduct

How would you describe the applicant's Resident Care? *

How well do they complete their Documentation? *

How well does the applicant work under pressure? *

Does the applicant comply with your organisation's policies and procedures? *

Does the applicant report all incidents and accidents if applicable? *

6Final thoughts

Would you re-employ the applicant? Why/why not? *

Do you have any final comments? *

Reference Check

Thank you