Reference Check Form
Name
Applied Position
___________________
Applied Dept.
_____________________
____________________
Content of Reference Check (Please fill from your latest employment)
Employment Record(I)
Candidate’s Position
Company Name
_______________________________
Contact Person:  Direct Supervisor  HR
Contacts’ Name
Position
________________
___________________
Contact Number
_________________
Comment:
1) Work Performance
_________________________________________________________________________________________________
2) Improvement Area
_________________________________________________________________________________________________
3) Leaving Reason
 Resign
 Dismiss
 Contract Expiration
 Others ______________________________________________________________
4) Consider to rehire him/her if applicable, yes or no.  Yes
 No
Employment Record(II)
Company Name
Candidate’s Position
_______________________________
Contact Person:  Direct Supervisor  HR
Contacts’ Name
Position
________________
Contact Number
___________________
_________________
Comment:
1) Work Performance
_________________________________________________________________________________________________
2) Improvement Area
_________________________________________________________________________________________________
3) Leaving Reason
 Resign
 Dismiss
 Contract Expiration
 Others ______________________________________________________________
4) Consider to rehire him/her if applicable, yes or no.  Yes  No
Checked By
Checking Way
Checking Date