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Reference Check Form


To Whom It May Concern:

has been employed by us/has applied for employment
and given the following information covering employment in your organization.  We have been authorized to communicate with you for verification and such reference information as you care to give us.
(Please check if correct or change if incorrect.)
Employment dates:

Position:

Last earning rate:

Reason for leaving:

Is applicant eligible for rehire?



Your signature
 

Title
 

On the back of this letter we would appreciate any helpful comments you care to make, and will respect your confidence in this matter.  The enclosed duplicate is for your own files.

Sincerely yours,



Personnel Department

Copyright 1995 Steven M. Sack


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