Avalon Health Care Group Reference Check
Candidate's Name
First Name
Last Name
Your Name
First Name
Last Name
Your Phone Number
Please enter a valid phone number.
What company do you currently work for?
How do you know this person?
Does this person have good attendance and punctuality?
Yes
No
What type of attitude and outlook does this person bring to the workplace?
Had there been any complaints made or internal investigations that resulted in disciplinary action?
Yes
No
Are there any other factors that we should know about in making a decision to hire this candidate?
Is this person eligible for rehire?
Yes
No
Today's Date
-
Month
-
Day
Year
Date
Your Signature
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Submit
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