Reference check form template
A complete employment reference check form: 17 questions in the order a reference conversation actually runs, plus the consent and referee verification fields most forms leave out. Free, no sign-up.
Use it on a call, send it as a questionnaire, or let software send and analyse it. Writing the emails around it is the reference request email templates, and the reasoning behind each question is in the reference check question bank.
1. Candidate and role
Fill this in before you contact anyone, so every referee for this role answers the same questions about the same job.
- Candidate name
- Role applied for
- Hiring manager
- Reference checked by
- Date
- Two things this role lives or dies on
- e.g. unsupervised client contact, accuracy under deadline
2. Referee details
Verify the referee independently before you take their answers seriously. A work email on the employer's own domain and a listed company phone number are the two cheapest checks you can make.
- Referee name
- Job title at the time
- Company
- Work email
- on the employer's domain, not a personal address
- Phone
- Verified how
- company switchboard, LinkedIn, employer website
3. Consent and disclosure
Written candidate consent comes first, every time. Record it here so the file shows when and how you got it.
- Candidate consent received on
- date, and in what form
- Referees named by the candidate
- yes / no, and who added the rest
- Referee told how their answers will be used
- yes / no
4. Relationship and employment verification
Start here. If these answers do not match the candidate's own account, everything after them is worth less.
- 1
In what capacity did you work with the candidate, and were you their direct manager?
short answer
A peer or a friend answering as a manager is the most common reference problem there is.
- 2
What were their start and end dates, and their job title when they left?
short answer
Compare against the resume before you read on.
- 3
What were their main responsibilities?
long answer
Listen for scope that is smaller than the candidate described.
- 4
Why did they leave?
short answer
A mismatch with the candidate's reason is worth a follow-up call, not an automatic no.
5. Performance
- 1
On a scale of 1 to 10, how would you rate the quality and consistency of their work, and what sits behind that number?
1 to 10, plus a comment
The number stops a non-committal answer; the explanation is the part you actually use.
- 2
Describe a significant project or problem they handled, and what the outcome was.
long answer
Specific beats flattering. Vague praise here usually means limited direct contact.
- 3
Where did they need the most support or supervision?
long answer
Phrased as support rather than weakness, this gets an honest answer far more often.
- 4
How did they perform against targets, deadlines or service levels?
long answer
6. Working with other people
- 1
How did they work with their team, their manager, and people outside their department?
long answer
- 2
How did they take feedback or correction?
long answer
Coachability predicts the first six months better than almost anything else on this form.
- 3
Describe how they handled a disagreement or a difficult person.
long answer
7. Reliability, conduct and growth
- 1
Were they reliable about attendance, deadlines and commitments?
yes / no, plus a comment
Follow any hesitation with: can you give me an example?
- 2
How quickly did they pick up new tools, systems or processes?
long answer
- 3
Were there any formal performance or conduct concerns on file that you are able to share?
long answer
Many employers will decline this. A decline is not a red flag; an unprompted story is information.
- 4
Is there anything about the role we described that would concern you for this person?
long answer
This is why section 1 asks what the role lives or dies on.
8. The two closing questions
Ask both, in this order, of every referee. They do more work than the rest of the form combined.
- 1
Would you hire or work with this person again, and why?
yes / no, plus a comment
An unqualified yes is the benchmark. Hedging, a pause, or 'yes, but in a different role' is the finding.
- 2
Is there anything else we should know that I have not asked about?
long answer
Leave the silence. The most useful sentence in a reference check usually arrives here.
9. Your notes and decision
Record this while the conversation is fresh. Facts and direct quotes, not impressions.
- Matches the candidate's own account
- yes / mostly / no, with what differed
- Points to confirm with another referee
- Outcome
- clear / clear with notes / needs a further referee / do not proceed
- Completed by, and date
Keep these off the form
A referee may volunteer any of this. Do not ask for it, do not write it down, and do not let it into the decision.
- Medical conditions, disability, or mental health history
- Pregnancy, family planning, or parental status
- Religion or religious practice
- Age, race, ethnicity, or national origin
- Genetic information or family medical history
- Sexual orientation or gender identity
- Workers' compensation claims
- Union membership or activity
- Arrest records that did not lead to a conviction
This is not legal advice. The list covers common federal ground in the United States; state, local and non-US rules add to it, and some jurisdictions limit what a former employer may disclose at all.
Copy the whole form, or take the sample questions
Plain text, with writable lines. Paste it into Word, Google Docs, or your notes app and change anything you like. Treat the questions as a starting set: cut the ones that do not fit the role and reword the rest in your own voice.
REFERENCE CHECK FORM Template version 2026.1 - verifyref.com/reference-check-template 1. CANDIDATE AND ROLE Fill this in before you contact anyone, so every referee for this role answers the same questions about the same job. Candidate name: ____________________________________________________________ Role applied for: ____________________________________________________________ Hiring manager: ____________________________________________________________ Reference checked by: ____________________________________________________________ Date: ____________________________________________________________ Two things this role lives or dies on (e.g. unsupervised client contact, accuracy under deadline): ____________________________________________________________ ____________________________________________________________ 2. REFEREE DETAILS Verify the referee independently before you take their answers seriously. A work email on the employer's own domain and a listed company phone number are the two cheapest checks you can make. Referee name: ____________________________________________________________ Job title at the time: ____________________________________________________________ Company: ____________________________________________________________ Work email (on the employer's domain, not a personal address): ____________________________________________________________ Phone: ____________________________________________________________ Verified how (company switchboard, LinkedIn, employer website): ____________________________________________________________ 3. CONSENT AND DISCLOSURE Written candidate consent comes first, every time. Record it here so the file shows when and how you got it. Candidate consent received on (date, and in what form): ____________________________________________________________ Referees named by the candidate (yes / no, and who added the rest): ____________________________________________________________ Referee told how their answers will be used (yes / no): ____________________________________________________________ 4. RELATIONSHIP AND EMPLOYMENT VERIFICATION Start here. If these answers do not match the candidate's own account, everything after them is worth less. 1. In what capacity did you work with the candidate, and were you their direct manager? [short answer] Why: A peer or a friend answering as a manager is the most common reference problem there is. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 2. What were their start and end dates, and their job title when they left? [short answer] Why: Compare against the resume before you read on. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 3. What were their main responsibilities? [long answer] Why: Listen for scope that is smaller than the candidate described. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 4. Why did they leave? [short answer] Why: A mismatch with the candidate's reason is worth a follow-up call, not an automatic no. ____________________________________________________________ ____________________________________________________________ 5. PERFORMANCE 1. On a scale of 1 to 10, how would you rate the quality and consistency of their work, and what sits behind that number? [1 to 10, plus a comment] Why: The number stops a non-committal answer; the explanation is the part you actually use. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 2. Describe a significant project or problem they handled, and what the outcome was. [long answer] Why: Specific beats flattering. Vague praise here usually means limited direct contact. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 3. Where did they need the most support or supervision? [long answer] Why: Phrased as support rather than weakness, this gets an honest answer far more often. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 4. How did they perform against targets, deadlines or service levels? [long answer] ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 6. WORKING WITH OTHER PEOPLE 1. How did they work with their team, their manager, and people outside their department? [long answer] ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 2. How did they take feedback or correction? [long answer] Why: Coachability predicts the first six months better than almost anything else on this form. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 3. Describe how they handled a disagreement or a difficult person. [long answer] ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 7. RELIABILITY, CONDUCT AND GROWTH 1. Were they reliable about attendance, deadlines and commitments? [yes / no, plus a comment] Why: Follow any hesitation with: can you give me an example? ____________________________________________________________ ____________________________________________________________ 2. How quickly did they pick up new tools, systems or processes? [long answer] ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 3. Were there any formal performance or conduct concerns on file that you are able to share? [long answer] Why: Many employers will decline this. A decline is not a red flag; an unprompted story is information. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 4. Is there anything about the role we described that would concern you for this person? [long answer] Why: This is why section 1 asks what the role lives or dies on. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 8. THE TWO CLOSING QUESTIONS Ask both, in this order, of every referee. They do more work than the rest of the form combined. 1. Would you hire or work with this person again, and why? [yes / no, plus a comment] Why: An unqualified yes is the benchmark. Hedging, a pause, or 'yes, but in a different role' is the finding. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 2. Is there anything else we should know that I have not asked about? [long answer] Why: Leave the silence. The most useful sentence in a reference check usually arrives here. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 9. YOUR NOTES AND DECISION Record this while the conversation is fresh. Facts and direct quotes, not impressions. Matches the candidate's own account (yes / mostly / no, with what differed): ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Points to confirm with another referee: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Outcome (clear / clear with notes / needs a further referee / do not proceed): ____________________________________________________________ Completed by, and date: ____________________________________________________________ DO NOT ASK ABOUT - Medical conditions, disability, or mental health history - Pregnancy, family planning, or parental status - Religion or religious practice - Age, race, ethnicity, or national origin - Genetic information or family medical history - Sexual orientation or gender identity - Workers' compensation claims - Union membership or activity - Arrest records that did not lead to a conviction Not legal advice. State, local and non-US rules add to this list.
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Reference check form FAQ
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