Professional Reference Check Form

You have been given as a reference by a PTS Applicant. We give great importance to the screening of our applicants and would sincerely appreciate your assistance in this matter.

Please complete this form; the information will viewed only by Human Resources and held in strict confidence. Thank you for your time and attention to this matter.

Professional Reference Check

Professional Reference Name:
Your Position:
Employer:
Phone:
Applicant Name:
Dates of Employment:
Work Performance:
Comments:
Did the applicant receive any discipline during the last 12 months of employment?
Reason for Termination:
Position Held:
Attendance/Tardiness:
Comments:
Attitude/Ability to Work with Others
Comments:
Eligible for Rehire?
 
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