Reference Check Form Template
Template for Reference Check Form. Customize this template for your specific needs.
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Document: Reference Check Form
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Version 1 • Last updated 7/30/2026
Reference Check Form
Candidate Details
| Field | Information |
|---|---|
| Full Name | [CANDIDATE FULL NAME] |
| Position Applied For | [JOB TITLE] |
| Date of Interview | [DD/MM/YYYY] |
| Interviewer Name | [YOUR NAME] |
Referee Details
| Field | Information |
|---|---|
| Referee Name | [REFEREE NAME] |
| Relationship to Candidate | [e.g. Former Supervisor/Manager] |
| Company Name | [COMPANY NAME] |
| Contact Number | [PHONE NUMBER] |
| Email Address | [EMAIL ADDRESS] |
| Date of Check | [DD/MM/YYYY] |
| Checked By | [YOUR NAME] |
1. Verification of Employment
Please confirm the following details about the candidate's employment.
- Dates of Employment: From [DATE] to [DATE]
- Job Title: [JOB TITLE]
- Was the role full-time, part-time or casual? [ANSWER]
- Reason for leaving: [ANSWER]
2. Duties and Skills
Did the candidate perform the following duties? Please indicate Yes/No and provide comments.
- Primary Duty: [DUTY 1] - [YES/NO] - Comments: [COMMENTS]
- Primary Duty: [DUTY 2] - [YES/NO] - Comments: [COMMENTS]
- Primary Duty: [DUTY 3] - [YES/NO] - Comments: [COMMENTS]
Technical Skills Assessment
- How would you rate their technical skills in [SPECIFIC SKILL]? [RATING 1-5]
- Are they competent in using [SOFTWARE/TOOL/MACHINERY]? [YES/NO]
- Comments on technical ability: [COMMENTS]
3. Work Performance and Reliability
- How would you rate their attendance and punctuality? [ANSWER]
- Did they meet deadlines and KPIs? [ANSWER]
- Did they follow safety procedures and workplace policies? [ANSWER]
- Describe their work ethic in 3 words: [WORD 1], [WORD 2], [WORD 3]
4. Behaviour and Soft Skills
- How did they handle stress or pressure? [ANSWER]
- How did they interact with colleagues and customers? [ANSWER]
- Did they work well in a team? [ANSWER]
- Did they require close supervision or work independently? [ANSWER]
- Were there any disciplinary issues or performance warnings? [YES/NO] If Yes, please detail: [DETAILS]
5. Final Assessment
- Would you re-employ this person? [YES/NO/MAYBE]
- Is there anything else we should know about this candidate? [ANSWER]
Check Completed By:
Name: [YOUR NAME] Signature: __________________________ Date: [DD/MM/YYYY]
About this Template
Part of the Reference Check Form document collection
Document Type
Reference Check Form
A structured tool used by Australian employers to contact referees and verify a job candidate's work history, skills, and reliability before hiring.