Identify yourself, your department/unit, Mississippi State University, your reason for calling, and the position for which the applicant is applying.

1. What is/was your relationship to __________________________________?

2. From what month and year until what month and year did you work with _________________________________?

3. Can you verify the position(s) that he or she held?

4. Did you have the opportunity to observe ____________________________ in his/her position as ___________________________?

5. How would you describe his/her performance in this position?

6. How would describe the quality and quantity of __________________________________________'s work?

7. What do you consider ________________________________'s strengths?

8. In what areas does _____________________________need additional development?

9. How would you compare the performance of ________________________________ with that of others who have held the same job?

10. Please describe _______________________________'s work ethic in the context of tardiness, absenteeism, attitude, abuse of sick or vacation time, dependability, trustworthiness, or completion of assigned tasks.

11. In what sort of environment do you think that ____________________________ would work best?

12. Why did _________________________ leave (or why is ___________________________ interested in leaving) your organization?

13. Would you hesitate to re-employ or work with ___________________________ if you had the opportunity?

14. Is there any additional information that you feel we should have in considering _____________________________ for employment?

Interviewer:_____________________________________

Date____________________