CONFIDENTIAL

Name of Candidate : ______________________________________________

Position Applied : ______________________________________________
Reference : ______________________________________________
Date : _______________________________________________

Question 1
How long have you known ____________________________________________________________________________________
(Name of applicant)
Answer :
__________________________________________________________________________________________________________

When did you last work with __________________________________________________________________________________

(Name of applicant)
Answer :
__________________________________________________________________________________________________________

Question 2
What position did ___________________________________ hold during the time that you worked together?
(Name of applicant)
Answer :
______________________________________________________________________________________________________

Question 3
How would you describe_____________________________________ personality?
(Name of applicant)
Answer :
______________________________________________________________________________________________________

Question 4
Do any particular achievements come to mind when you think of ________________________________ during the period that
you worked together? (Name of applicant)

Answer :
______________________________________________________________________________________________________

Question 5
What is________________________________ overall attitude to work like? Was he/she motivated, enthusiastic? (Please give
examples). (Name of applicant)

Answer :
______________________________________________________________________________________________________

Question 6
Was _________________________________ there whenever you need him/her? Is he/she committed and willing to go the extra
mile? (Name of applicant)

Answer :
______________________________________________________________________________________________________

Question 7
How was the quality of__________________________________________________ work?
(Name of applicant)
Answer :
______________________________________________________________________________________________________
Question 8
What do you see as__________________________________ development needs or weaknesses?
(Name of applicant)
Answer :
______________________________________________________________________________________________________

Question 9
In hypothetical situation, would you re-employ or recommend _________________________ to the____________________
position? (Name of applicant) (position applied)

Answer :
______________________________________________________________________________________________________

Question 10
How easily does __________________________________ adapt to new situations?
(Name of applicant)
Answer :
______________________________________________________________________________________________________

Question 11
How has_______________________________ coped in a project environment when things weren’t clearly defined, such as any
( (Name of applicant) clear requirements or scope?

Answer :
______________________________________________________________________________________________________

Question 12
How did____________________________ get on with other members of the team?
(Name of applicant)

Answer :
______________________________________________________________________________________________________

Question 13
What was__________________________________ attendance like?
(Name of applicant)

Answer :
______________________________________________________________________________________________________

Question 14
Are there any other comments you would like to make about _________________________________?
(Name of applicant)
Answer :
______________________________________________________________________________________________________

Question 15
Are you happy for us to share this document with the candidate?__________________.

Answer :
______________________________________________________________________________________________________

________________________________________
(Signature Over Printed)

Date Signed: _____________________________