应聘者背景调查问卷 
Reference Check Report
Applicant's Name 员工姓名
Ms.
Name of Employer 公司名称
Name of Referee 证明人姓名
Mr.
Title / Position of referee 证明人职位
Contacts of Referee 证明人联络方式
背景调查内容
1.应聘者在该单位工作时间 Candidate’s dates of employment?
(From)
(To)
(DD/MM/YYYY)
(DD/MM/YYYY)
2.应聘者原职位/主要工作职责?
What was his/her position and main responsibilities?
原职位 Job Title:
主要工作职责Responsibilities:
3.您认为他/她的主要优势是什么?
What would you consider the candidate’s key strengths to be?
4.该应聘者的人际关系处理得如何?(上级、同事及下属)
How well did he/she work with others? (Peers, subordinates, supervisors)
5.您认为他/她需要改进的地方有哪些?
What areas of improvement do you think the candidate needs to address?
6.您是否能提供以下与他/她相关的信息?
What information can you give in relation to his / her?
a.工作态度 Overall attitude
b.工作质量 Quality of work
c.可靠性 Reliability
d.诚信  Integrity
e.沟通能力 Communication
f.Promotion 是否有过晋升?    Yes     /    No      
如果有(If yes), 是从(from)
(position)岗位
晋升到 (promote to)
(Position) 岗位?
如果没有是因为什么原因
If no, reasons:
7.离职原因?
Why did he/she leave the organisation?
8.他/她 符合您公司继续录用的条件吗?
Would you like to work with the candidate again (if applicable)?      Yes   /    No  
如果不符合是因为什么原因
If no, are you able to share the reasons why?
9.对于以上问题没有涉及到的内容您还有其他想分享的吗
What else do I need to know about the job candidate that I didn’t already ask?
position职位
Additional Notes/Comments 其他:
竞业限制协议 Post-employment obligations
Yes / No
其他需要履行协议 Any other agreement?
Yes   (Detail
)  /  No  
Signature 证明人签名
Date 日期

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