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

Reference Name:
Applicant Name:
Dates of Employment(if applicable):
Position Held:
Reason for Termination:
Eligible for Rehire?
Work Performance:
Strengths and/or weaknesses observed?
Attendance/Tardiness issues?
Attitude/ability to work with others?
Productivity/ability to accurately complete work in a timely manner?
Did the applicant receive any discipline during the last 12 months of employment?
Would you recommend this person for a position?
* Captcha: Please type the letters as they appear in the box below.

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