Candidate Reference Form

Thank you for taking a few minutes to complete this reference. Your time and thoughts are very appreciated. Rest assured, we will keep your feedback confidential; your insights will only shared with our client (hiring manager or HR) and internal Smart Savvy team members, unless we are required to release by law. Required fields are marked with an asterisk (*).

"*" indicates required fields

Name of the candidate*

First Last

Your name*

First Last

Where are you currently working and what is your position there?*

Your telephone number?*

Your email? (1 address only, please)*

At which company did you work with the candidate?*

What was your working relationship to the candidate and how long did you work together for? (ex. Direct manager for 2 years, peer, cross-functional leader, candidate worked closely with on several projects over 4 years, etc.)*

What was the candidate’s (approx.) job title?*

What were the candidate’s approximate dates of employment at this company?*

In your opinion, what are the candidate’s top three strengths?*

During the time you worked together, what were two skills or competencies you felt the candidate could develop, improve or work on?*

Please briefly highlight 1-2 examples of a project or area where the candidate made an impact?*

On a scale of 1 to 5, how well did the candidate get along with colleagues?*

Poorly, this was a problem

Mediocre/Inconsistent performance

Good/Acceptable performance

Very good/Above average performance

Excellent/Exceptional performance

On a scale of 1 to 5, how well did the candidate interact with leaders throughout the organization?*

Poorly, this was a problem

Mediocre/Inconsistent performance

Good/Acceptable performance

Very good/Above average performance

Excellent/Exceptional performance

On a scale of 1 to 5, how well does the candidate demonstrate the following qualities/skills?*

	Completely Ineffective	Somewhat Effective	Effective	Very Effective	Excellent	Don’t Know
Dependability
Written communication
Verbal communication
Adaptability
Decision making/judgement
Relationship management
Problem solving
Productivity
Personal integrity
Long term planning
Crisis management
Response to feedback

On a scale of 1 to 5, how would you rate the candidate’s OVERALL performance?*

Poorly, this was a problem

Mediocre/Inconsistent performance

Good/Acceptable performance

Very good/Above average performance

Excellent/Exceptional performance

Would you rehire/work with this person again?*

Yes

If yes, why? If no, why not?*

What was the reason the candidate's employment ended at this company?

Are there any additional comments you'd like to share about this candidate?