Date:

To:

[Personnel Name]

[Position in Company]

[Company Address]

RE: REQUEST FOR EMPLOYMENT REFERENCE

Dear

We have received an application for employment from _____________, seeking a position with our firm in the capacity of _____________. We understand the applicant was previously employed by your firm.

Accordingly, we would appreciate a reference on the individual, including confirmation of the dates of employment with you, performance evaluation, and reasons for termination.

Please advise whether your reference should be held confidential, and we thank you for your anticipated cooperation.

Sincerely,

_________________________

Name and Position