Reference Check

My name is Patty D’Auria and I’m contacting you to conduct a reference check for the below applicant who is being considered for a role with Henderson Healthcare. Your details have been provided to me by the applicant and I would first like to check if you are prepared to provide a reference?*

I am willing to provide a reference for the applicant below (please select the checkbox)

Applicant's Name

Please note that this reference will be used in the overall evaluation of the applicant and will affect whether they are selected for the job. The information you provide may be given to the candidate or a 3rd party if requested, Do I have your permission to proceed?*

I am willing to proceed

Your Name - Referee

First Last

Your Email - Referee

Company & Title

Date

Please select today's date

What is the nature of your relationship with the applicant? (Please select one of the below)

(We are not able to accept Reference Checks from a Colleague)

What position/s was the candidate employed in when they worked with you?

What were the dates of their employment?

What were the main duties and responsibilities of the role?

How would you describe the applicant’s overall work performance?

What would you say are the applicant’s main strengths?

What would you say are the applicant’s development areas (e.g. weaknesses)?

What is/was the applicant’s reason for leaving?

Reference Check - Henderson Healthcare

Step 1 of 3