Job Applicant Employment Verification Form

A Job Applicant Employment Verification Form will get pertinent information and verification for any prospective employees your company is

wishing to hire.

The following sample form is intended for employers seeking proof and authentication of a considered applicant’s previous employment.

Although a relatively short form, this sample form requests a concise recollection of a prospective employees’ flaws and talents.

This sample form takes on from after applicants have provided you with an employment history.

Send this form to those businesses to request disclosure on the intended applicant’s employment history in further detail.

This form is a closer helper, giving you the tools to make the best decision for your business.

***********************


Dear ___________, 

The person identified below is being considered for employment and has

signed a statement authorizing this verification and investigation. 

We shall appreciate a statement of your opinions and experiences as

outlined below. Your reply will be considered confidential.


 

___________________________________

     Name of Applicant

 

___________________________________

     Social Security Number

 

___________________________________

     Dates of Claimed Employment

 

___________________________________

     Position Last Held

 

___________________________________

     Final Rate of Pay

 

Is the above information correct?  Yes______ No________

If not please make corrections.

 

What is your opinion as to this person's

 

Ability________________________Effort_________________________

 

Conduct________________________Attendance_____________________

 

Reason for leaving your employ________________________________

______________________________________________________________

 

Eligible for rehire?  Yes_____No_____If not, why?_____________

______________________________________________________________

 

Your further comments on any personal or professional strength and weaknesses will be appreciated.___________________________

______________________________________________________________

______________________________________________________________

 

Date__________Signed_____________________Title________________

 

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