Reference Information

NOTE: Please fill this out completely and honestly. It is very important for us to contact references as part of your being considered for employment with our company. If you have any questions, please contact the person who is conducting your interviews. Thank you!

Candidate Name*
First Last
Date*
MM slash DD slash YYYY
Work References – Most Recent Company
Company
Position/Title
Dates of Employment From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
Compensation
Supervisor's Name
First Last
Supervisor's Title
Supervisor's Phone
Reason You Left
May we contact this person to ask them questions about your employment?
Work References – Company 2
Company
Position/Title
Dates of Employment From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
Compensation
Supervisor's Name
First Last
Supervisor's Title
Supervisor's Phone
Reason You Left
May we contact this person to ask them questions about your employment?
Work References – Company 3
Company
Position/Title
Dates of Employment From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
Compensation
Supervisor's Name
First Last
Supervisor's Title
Supervisor's Phone
Reason You Left
May we contact this person to ask them questions about your employment?
Work References – Company 4
Company
Position/Title
Dates of Employment From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
Compensation
Supervisor's Name
First Last
Supervisor's Title
Supervisor's Phone
Reason You Left
May we contact this person to ask them questions about your employment?
Character References – Person 1
Name
First Last
Phone
Relationship to This Person
May we contact this person to ask them questions about you?
Character References – Person 2
Name
First Last
Phone
Relationship to This Person
May we contact this person to ask them questions about you?

Reference Information

Work References – Most Recent Company

Work References – Company 2

Work References – Company 3

Work References – Company 4

Character References – Person 1

Character References – Person 2