[Name of Reference]
[Title of Reference]
[Reference Company Name]
[Address]
Regarding: [Candidates Name]
Dear:
We are contacting you to verify employment of the above individual with your organization. This individual has applied with our organization for the position of [Position Title]. Attached please find a copy of the applicants signed consent form releasing prior employers to provide our organization information on [his/her] employment history, salary and performance. We appreciate your time and attention to this matter. If you have any questions, please contact me directly at [phone number and email address].
Sincerely,
[Name, Title]
[Company Name]
[Candidates Name]
Dates of employment (month/year): Start Date: _____________ End Date: _____________
Job title(s): ________________________________
Primary job duties: _______________________________________________________
Quality of work: __________________________________________________________
Was it a voluntary or involuntary separation of employment? ________________________
Reason for employment separation: ___________________________________________
Eligible for rehire? (circle one): Yes / No. If No, why? _______________________________
Above information was completed by:
Company Name: ___________________________
Printed Name: _____________________ Title: _____________________________
Signature: ________________________ Date: ____________________________
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