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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This Printable Business Form Template belongs to these categories: employment request

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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

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