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Reference Request · Popular

Streamline Your Candidate Reference Verification

Gather detailed professional references and verify candidate qualifications with this structured employment reference check form template.

Use This Template Free Preview

Terra theme

formbuilder.ai/f/employment-reference-check-candidate-verification-request-form

Employment Reference Check & Candidate Verification Request Form

Candidate's Full Name

· · ·

Candidate's Email Address

· · ·

Candidate's Job Title / Position

· · ·

Submit

The Employment Reference Check & Candidate Verification Request Form is a comprehensive tool designed to help HR professionals and hiring managers collect structured, meaningful feedback from a candidate's previous employers or supervisors. It captures essential details about the candidate's work history, professional performance, and key competencies—all in one organized form.

This template is ideal for recruiters, HR departments, and hiring teams across industries who need a consistent and professional way to evaluate candidates before making a hiring decision. Reference providers can rate the candidate on critical attributes such as reliability, communication skills, teamwork, problem-solving, and overall quality of work, ensuring you get a well-rounded picture of each applicant.

By standardizing the reference check process, this form eliminates guesswork, reduces administrative overhead, and ensures every candidate is evaluated fairly and thoroughly. Start using this free template today to make more confident, data-driven hiring decisions.

3 Pages

27 Questions

~9min To complete

Free No credit card needed

Field types Short Text ×6 Star Rating ×5 Long Text ×4 Full Name ×2 Email ×2 Phone Dropdown Likert Scale Yes / No daterange termsandconditions Signature Date

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Candidate & Reference Information 11 questions

Candidate Information

1 Candidate's Full Name * Full Name

2 Candidate's Email Address * Email

3 Candidate's Job Title / Position Applied For * Short Text

4 Department / Team Short Text

Reference Provider Details

5 Your Full Name (Reference Provider) * Full Name

6 Your Job Title * Short Text

7 Company / Organization Name * Short Text

8 Your Email Address * Email

9 Your Phone Number * Phone

10 Your Relationship to the Candidate * Dropdown

11 How long have you known or worked with the candidate? (e.g., 2 years) * Short Text

Page 2 Performance & Character Assessment 10 questions

Professional Performance Evaluation

1 Overall Quality of Work * Star Rating

2 Reliability & Dependability * Star Rating

3 Communication Skills * Star Rating

4 Teamwork & Collaboration * Star Rating

5 Problem-Solving & Initiative * Star Rating

6 The candidate consistently met or exceeded performance expectations * Likert Scale

Additional Insights

7 Please describe the candidate's key strengths and notable accomplishments * Long Text

8 Are there any areas where the candidate could improve or develop further? Long Text

9 Would you rehire or work with this candidate again? * Yes / No

10 If no, please briefly explain why Long Text

Page 3 Verification & Authorization 6 questions

Employment Verification

1 Dates of Employment / Association with the Candidate * daterange

2 Candidate's Job Title During Your Time Together * Short Text

3 Any additional comments or information you'd like to share about the candidate? Long Text

Authorization & Consent

By signing below, you confirm that the information provided in this form is accurate and truthful to the best of your knowledge. You authorize the requesting organization to use this reference as part of the candidate's evaluation process.

4 I confirm that all information provided is accurate and I consent to this reference being used for employment evaluation purposes * termsandconditions

5 Reference Provider's Signature * Signature

6 Date of Submission * Date

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.