Employee Reference CheckStep 1 of 425%Employee's Name(Required) First Last Reference's Name(Required) First Last Relationship to Employee(Required)Phone(Required)Email(Required) How long have you known the employee?(Required) Less than 1 year 1- 3 years More than 3 yearsAre you a previous employer or supervisor?(Required) Yes NoHave you ever formally evaluated the employee? Yes NoEmployee's Most Recent Job TitleDates of EmploymentWould you hire/rehire the employee if you had a job opening to fill? Yes NoPlease rate the employee in each of the following areas with 5 being the highest quality and 1 being the lowest.Honesty(Required) 1 2 3 4 5Integrity(Required) 1 2 3 4 5Response to Correction(Required) 1 2 3 4 5Ability to Mentor(Required) 1 2 3 4 5Trustworthiness(Required) 1 2 3 4 5Work Ethic(Required) 1 2 3 4 5Service to Others(Required) 1 2 3 4 5Ability to Work with Others(Required) 1 2 3 4 5Initiative(Required) 1 2 3 4 5Dependability(Required) 1 2 3 4 5Attendance(Required) 1 2 3 4 5Communication(Required) 1 2 3 4 5Attitude(Required) 1 2 3 4 5Other comments or information you feel we should know:By typing my name below, I hereby certify that I have answered all questions honestly and fairly, to the best of my ability.Name(Required)Date(Required) MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.
