Open Care Connect - Reference Check Form

Reference Check

Controlled document workflow

Record referee responses verbatim where possible.
All reference questions are mandatory.
Information is confidential and must stay in the recruitment file.
Do not disclose outside the hiring process.

Reference Check Form

HR-RCF-001 | V1.0 | Custodian: People & Culture

Use this form to capture referee verification during the hiring process. Keep responses clear, factual, and as close to the referee's wording as possible.

Information obtained during a reference check is confidential and must be stored securely in the candidate's recruitment file. It must not be disclosed outside the hiring process.

Part A - Referee Details

Referee Full Name

Position / Title

Organisation

Relationship to Candidate

Phone Number

Email Address

Date of Reference Check

Conducted By

Part B - Candidate Details

Candidate Full Name

Position Applied For

Employment Dates With Referee

Part C - Reference Questions

All questions are mandatory.

Q1. Can you confirm the candidate's job title, main duties, and the dates they worked with you?

Q2. How would you describe their reliability and punctuality?

Q3. How did they interact with clients/participants, including people with disability?

Q4. Describe how they handle challenging behaviour or stressful situations.

Q5. Did they demonstrate awareness of privacy, confidentiality, and professional boundaries?

Q6. Were there any performance concerns, disciplinary actions, or absences of concern during their employment? If yes, please describe.

Q7. Would you re-employ this person? If not, why not?

Q8. Is there anything else you would like to tell us that is relevant to this role?

Part D - Declaration

Overall Recommendation

Suitable Suitable with reservations Not suitable

Summary Notes

Signature of Interviewer

Date

Records Control

Recruitment file location

Review due