Employee Reference Request
This form is intended to be sent from one business to another to confirm an applicant's stated dates of employment, salary, and other details.
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Description
ABC Corporation
123 Main St.
Anytown, CA 95928
(555) 555-1212
August 14, 2010
Dear ___________,
An individual by the name of ____________________ has applied for a position with our company, as has listed your firm as a previous place of employment. We would greatly appreciate it if you could provide the following information to assist us as we considering hiring this candidate. All comments will be held in the strictest confidence.
Position held: _________________
Dates of employment: _________ to __________
Starting salary or hourly rate: ________ Ending: ________
Please rate the employee on a scale of 1 to 5, with 5 being the best, in the following categories:
Attendance/punctuality: _____
Attitude: _____
Conduct: _____
Skill level: _____
Why is he/she no longer with the firm? ______________________________________
_____________________________________________________________________
Would you hire him/her again? Why/why not? ________________________________
______________________________________________________________________
Sincerely,
Jack Jackson, human resources director
