[AGENCY NAME] REFERENCE CHECK ============================= Candidate: ____________________ Role they’re being considered for: ____________________ Referee ------- Name: ____________________ Position and organisation: ____________________ Email and phone: ____________________ How did you work with the candidate? [ ] I managed them [ ] They managed me [ ] Colleague [ ] Client or customer [ ] Other: ______ When you worked together: ____________________ (from [Month Year] to [Month Year]) Nominated by the candidate? [ ] Yes Before we start --------------- I’m [your name] from [Agency name]. [Candidate name] has applied for a role with one of our clients and named you as a referee. Your answers will go to [Candidate name]’s file with us and to the client considering them, and may be shared with [Candidate name]. They won’t be used for anything else. Are you happy to go ahead? Referee agreed to give a reference: [ ] Yes Questions --------- 1. What was their job title, and what were they responsible for day to day? 2. Why did they leave, or why are they looking to leave? 3. What were they best at? Can you give an example? 4. What is one thing they could have done better? 5. How did they work with the people around them? 6. How did they handle pressure or a deadline they couldn’t meet? 7. What kind of manager gets the best out of them? 8. [A question for this role, such as a technical skill or system] Quality of their work, from 1 to 5: [ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5 Reliability, from 1 to 5: [ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5 Working with others, from 1 to 5: [ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5 Would you hire or work with them again? [ ] Yes [ ] Yes, with reservations [ ] No Anything else a future employer should know? ____________________ Record ------ How it was taken: [ ] Phone [ ] Video call [ ] In person [ ] Written form Taken by (consultant): ____________________ Date: ____________________ ____________________ Referee signature, if written ____________________ Date