PERSONAL REFERENCE CHECK TEMPLATE

Applicant’s Name      

Interviewer       Date      

Reference’s Name       Phone      

Key Questions to Ask:

What is your relationship to the applicant (work, social?)      
How long have you known the applicant?      
Have you observed this person in a leadership capacity? No Yes In what
capacity?      
What contributions do you feel this person can make to the Salvation Army?      
In what ways will this person be a good role model for adults?      

Have the reference indicate the rating they would apply to the candidate in the
following areas:

Superior Above Average Below Not

Average Average Observed
Leadership Skills
Human Relations
Skills
Organizational Skills
Dependability
Communication
Skills
Ability to work with
challenging adults