BACKGROUND CHECK FORM

Name of Applicant :

Former/Current Employer Check

Name of Supervisor/Immediate Superior : _____________________
Position :______________________
Department :______________________

1. What was the applicant’s position when he/she left? How much salary was he/she getting?
______________________________________________________________________

2. What was the applicant’s position when he/she started? How much salary was he/she getting?
______________________________________________________________________

3. What was the applicant’s reason for leaving the company?

______________________________________________________________________

4. What were the applicant’s major duties and responsibilities?

______________________________________________________________________

5. Can you give specific example of his/his strengths? Weaknesses?

______________________________________________________________________

6. How would you describe the quality of his/her work?

______________________________________________________________________

7. Can you describe how he/she get along with others?

_______________________________________________________________________

8. Can you give examples of times when the applicant demonstrated leadership characteristics?
_______________________________________________________________________

9. How did the applicant show initiative or creativity in his/her job?

_______________________________________________________________________

10. How would you describe his/her communication skills?

_______________________________________________________________________

11. Did the applicant was involved in any company violation or inappropriate behavior?
________________________________________________________________________

12. On a scale of 1-10 (10 being the highest), how would you rate his/her overall performance?
_________________________________________________________________________

13. If you were to be asked, would you recommended him/her to be hired by other company?
__________________________________________________________________________

14. Do you have additional comments regarding the applicant?

___________________________________________________________________________

Lot 86 Bagsakan Road Corner Avocado Street FTI Complex, Taguig City
Telefax. No.: 63 (2) 509-9122, 63 (2) 838-5520.
http://www.apolloplus.com.ph
 Character Reference Check

Name : _____________________
Company/Position : ______________________
Relationship to the Candidate : ______________________

1. How long have you known the applicant?

__________________________________________________________________

2. Can you describe to me the personality of the applicant?

___________________________________________________________________

3. What do you think are his/her strengths? Weakness?

___________________________________________________________________

4. What are the things the applicant wants to do?

___________________________________________________________________

5. What are the things the applicant doesn’t want to do?

___________________________________________________________________

6. Can you site an example when he/she demonstrated his/her ability to handle stressful situation?
____________________________________________________________________

7. Can you site an example when he/she demonstrated his/her leadership abilities?
_____________________________________________________________________

8. Do you know of any instance that the applicant was involved in any violation or misdemeanour?
_____________________________________________________________________

9. Will you recommend him/her to be hired by other companies?

______________________________________________________________________

10. Do you have additional comments regarding the applicant?

______________________________________________________________________

Background check conducted by : ______________________________

Position/Department : ______________________________
Date : ______________________________

Remarks : Recommended for hiring

 Keep for future reference
 Not to be considered
 Others
_______________________________
_______________________________

Lot 86 Bagsakan Road Corner Avocado Street FTI Complex, Taguig City
Telefax. No.: 63 (2) 509-9122, 63 (2) 838-5520.
http://www.apolloplus.com.ph