This document is a questionnaire for conducting a previous employment history check. It asks for information about an applicant's past work performance, behavior, and history. Here's an explanation of

This document is a questionnaire for conducting a previous employment history check. It asks for information about an applicant's past work performance, behavior, and history. Here's an explanation of what each section requires:

Page 1

• NAME OF APPLICANT: Enter the full name of the individual whose employment history is being assessed.
• POST APPLIED FOR: State the specific job title or position the applicant is currently applying for.
• BEHAVIOUR
  • How does he/she relate to other employees in the workplace?: Describe the applicant's interpersonal skills, teamwork abilities, communication style, and how they interact with colleagues.
  • Please give account of his/her employment history: Provide a summary of the applicant's past jobs, including job titles, dates of employment, key responsibilities, and achievements.

Page 2

• Describe how he/she relates with authorities: Explain the applicant's respect for supervisors, ability to follow instructions, and professional conduct when interacting with management or higher-ranking personnel.
• Does he/she display ethical behavior within the working environment?: Assess the applicant's honesty, integrity, adherence to company policies, and overall moral conduct at work.
• How does he/she react to constructive criticism?: Describe the applicant's response to feedback, their willingness to learn and improve, and how they handle suggestions for change or areas needing development.
• SECURITY
  • Has she/he been implicated in corruption during the period his/her employment?: State whether the applicant has ever been involved in or accused of corrupt practices during their employment.
  • What security measures does he/she implement in the work environment?: Describe the applicant's awareness and adherence to security protocols, data protection, physical security, or any security-related responsibilities they held.

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• A. WORK HISTORY
  • 1. Has any disciplinary action been taken against her? If Yes When & Why: Indicate if any formal disciplinary actions were taken against the applicant. If yes, provide the dates and detailed reasons for the action.
  • 2. Has s/he ever been dismissed from previous employment If Yes When & Why: State whether the applicant was ever terminated from a previous job. If yes, provide the dates and specific reasons for the dismissal.
  • 3. Has s/he ever considered leaving the organization for alternative employment elsewhere? If Yes What was the reason?: Indicate if the applicant expressed intentions to leave for another job. If yes, explain their stated reasons for considering alternative employment.

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• 4. Has s/he uphold an acceptable level of self-discipline within the working environment: Assess the applicant's ability to manage their time, meet deadlines, follow rules, and maintain professional conduct without constant supervision.
• 5. Any additional information: Use this space to provide any other relevant comments, observations, or details about the applicant's performance, character, or work history that were not covered by the previous questions.
• INITIALS & SURNAME, SIGNATURE, DATE: These fields are for the person completing this questionnaire (the referee or previous employer) to sign and date the document.