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REFERENCE CHECKING FORM Candidate's Name ___________________________________Date of Reference_________________
 

Summary: REFERENCE CHECKING FORM
Candidate's Name ___________________________________Date of Reference_________________
Name of Reference: _____________________ Relationship to Candidate_______________________
Reference taken by ________________________________________ Refused to provide reference
Suggested Reference Script
_________________________has applied to the University of Houston's _______________________
(Candidate's Name) (Name of Department)
as a/an________________________________ and has stated that he/she was in your employ
(Position Title)
from ___________ to _________in the capacity of __________________________________ (Prior
Employment Dates) (Prior Position Title)
He/She has given us permission to contact you and I would like to ask you a few questions regarding
his/her employment while with your organization. May I begin?"
Hire Date: __________ Separation Date: __________ Position Held: ___________________________
(verify resume/application data)
Would you briefly describe what ________________'s job duties were and degree of independence?
(Candidate's Name)
Were there opportunities for teamwork? Yes No If Yes, what role did _______________________
usually take on a team? (Candidate's Name)
Did he/she prefer working alone or in groups? Alone In Groups

  

Source: Azevedo, Ricardo - Department of Biology and Biochemistry, University of Houston

 

Collections: Biology and Medicine; Environmental Sciences and Ecology