Personal Reference Check

[Your Business]
[Street Address]
[City, State and Zip Code]

[Date]

[Reference]
[Street Address]
City, State and Zip Code]

Re: Reference for [Applicant]
[Social Security Number]
[Provide information supplied by applicant for identification purposes.]

Dear [Reference]:

The above-named individual has applied for employment with our business and has named you as a reference.  In order to make an informed hiring decision, we need to know the applicant's work/educational history and personal qualifications or fitness for employment.  A release permitting you to provide the following information has been signed by the applicant and a copy is attached.  Any information that you give will be held in the strictest confidence.  Please verify by answering the following questions.

How long have you known [Applicant]?	_______________________________

What is the nature of your relationship?  	_______________________________

Why do you think [Applicant] would 
be a good choice for this position? 		_______________________________

Do you know of any reasons that could 
prevent [Applicant] from performing the 
functions of the position? 			_______________________________

Information furnished by: 			_______________________________ 

Signature:					_______________________________

Date: 						_______________________________

Thank you for your cooperation and prompt response.

Sincerely,

[Your Name]
[Your Title]
[Your Business]