Applicant Reference Check Form - West Houston Medical Center 2025

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  1. Click ‘Get Form’ to open the Applicant Reference Check Form in the editor.
  2. Begin by entering the name of the applicant in the designated field at the top of the form.
  3. Indicate how long you have known the applicant by filling in the appropriate section.
  4. Describe your relationship with the applicant in the 'In what capacity have you known the applicant?' field.
  5. For each rating question, select a score from 1 (Needs improvement) to 4 (Outstanding) based on your assessment of the applicant's qualities.
  6. Provide any additional comments about the applicant in the 'Other comments' section to give further context.
  7. Fill in the date, sign, and print your name at the bottom of the form. Also, include your address and phone number for contact purposes.

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