Checking With Previous Employers
Prior Employment Reference Request Form Check List
Make sure you have written and FCRA compliant permission from the applicant before proceeding with any kind of reference or employment background check.
Under no circumstances should you ask about an applicant’s medical history or medical issues.
Identify yourself and explain that you are checking the applicant’s references on behalf of a prospective employer.
Please also note that all employment background check, drug screening, driving record and state release authorization forms are available in a PDF format file to our Automated Employment Screening Clients.
All of these FCRA compliant release documents may be e-mailed to the applicants and easily completed online.
Prior Employment Verification
_______________________________________________________________________________________________________________
A. Applicant’s Name
______________________________________________________
B. Name Of Company
______________________________________________________
C. Name of Reference ______________________________________________________
1. Verify Employment Dates : From
When:__________________ To When:____________________
2. Name And Describe Positions Held And Work Performed.
______________________________________________________
3. Why Did Applicant Leave?
____________________________________________________
4. How did the applicant perform when stressful situations arose ?
____________________________________________________
5. How was applicant’s relationships with fellow employees and supervisors.
_________________________________________________________
6. Was applicant responsible for supervising other employees?
__________________________________________________
7. Did the applicant produce an acceptable amount of work?
__________________________________________________
8. Describe the quality of the applicant’s work product.
_______________________________________________________
9. Would you describe the applicant as a team player in most situations?
_____________________________________________________
10. Did the applicant prefer to work individually rather than in groups?
____________________________________________________
11. Describe the candidates contributions and major strengths.
_____________________________________________________
12. What weaknesses, if any, did the applicant display?
_____________________________________________________
13. How would you assess or describe the applicant as an employee overall?
___________________________________________________________
14. Describe the position the applicant is seeking and inquire if the applicant would be suitable for this job.
__________________________________________________
15. If applicant is suitable, please explain why.
__________________________________________________
16. If applicant would not be suitable please explain why.
__________________________________________________
17. Would you have any other comments or is there anything else we should be aware of about this applicant?
__________________________________________________
18. Do you think this individual would be eligible for rehire at your business or organization?
If this applicant would not be eligible for rehire, why not?
___________________________________________________
19. Can you think of anything else that a prospective employer would or should be aware of?
____________________________________________________
Completed by: ___________________________________ Date: _____________________
__________________________________________________________
Our Automated Employment Screening provides an applicant controlled process that allows FCRA compliant background check forms, including Electronic Chain-Of-custody forms and releases to be completed online by the applicant.
We provide several short videos to easily acquaint you with the system.
This makes the background check process fast and easy.
Please Click or call for more information.