New Employee Reference Request

Reference Request Form

Thank you for agreeing to provide a reference. Please complete the form below and let us know any further details you feel we should know. If you have any questions please contact us.

Your details are only used should we need to contact you further about this applicant. You will not receive any marketing or other communication.

Your First Name

Your Last Name

Your Email

Company

Position

Name of applicant

Applicant’s period of employment with you:

Current or most recent job title with you:

Main duties and responsibilities:

Applicant’s reason for leaving your employment:

Did the applicant perform his/her duties satisfactory?

Yes

Add answer here

Briefly describe any strengths and weaknesses in relation to the job for which the applicant has applied

Would you consider employing this person again?

Yes

Any other comments that you feel would assist us in our selection process.

Thank you for your reference!