Job Applicant Employment Verification Form
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.
* identified = 확인된, 식별된/ sign a statement = 진술서에 서명하다
* authorize = 재가[인가]하다 권한을 부여하다/ verification = 확인, 조회
* outline = 개요를 서술하다/ confidential = 비밀[기밀]의
___________________________________
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 ________________
