Employment Reference Form

Name(Required)

First Last

Email(Required)

Phone Number(Required)

Name of the candidate you are completing the reference check for(Required)

First Last

Name of the company or organization you represent(Required)

Did/does this candidate work for your company or organization?(Required)

Please list the candidate's basic job duties or responsibilities they had while being part of your company or organization(Required)

In what capacity did you work with the candidate?(Required)

Direct supervisor
Colleague
Mentor
Other

What are some of the candidate's strengths?(Required)

What are some of the candidate's areas for improvement?(Required)

What is your opinion of the overall quality of the candidate's work and work ethic?(Required)

Boys & Girls Clubs of Benton and Franklin Counties is a non-profit organization dedicated to empowering local youth. Do you feel this candidate would be a good fit for our organization?

Would you re-hire this person?(Required)

Yes
No
N/A

Is there any additional information you would like to share as we consider this candidate for hire?

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