DA Form 3439 at a glance
What it is: DA Form 3439, the Employment Reference Inquiry, obtains applicant previous employment reference(s) and personal characteristics for consideration of employment (AR 215-3; SORN A0215-3; DCS, G-1).
Who signs: Reference's signature (or phone number if completed telephonically).
A filled-in DA Form 3439 example: a former supervisor completes the reference inquiry
How to fill out DA Form 3439, box by box
Applicant's name
Enter the applicant's name (Last, First, Middle Initial).
How long you have known the applicant and in what capacity
Check applicable block and enter the approximate time known, by capacity: supervisor, fellow employee, acquaintance or other (specify).
Reason for leaving if no longer employed with you
Enter the reason for leaving if no longer employed with you.
Would you reemploy applicant
Check YES or NO to would you reemploy applicant; if no, indicate reasons under "Remarks."
Personal appraisal
Based on your experience with applicant, indicate by check mark in the appropriate column your evaluation of the following factors.
The columns are Outstanding, Better than average, Adequate, Unsatisfactory and Insufficient opportunity to observe.
5. a. DEPENDABILITY: Accepts assigned responsibility and effectively accomplishes duties; has little or no time or attendance issues.
b. COOPERATION: A team worker, maintains good working relationships.
c. INITIATIVE AND CREATIVENESS: Ability to think along original lines and to work without detailed instructions or supervision.
d. SOUND JUDGEMENT/ABILITY TO ADAPT UNDER PRESSURE: Poise and judgment in meeting adverse or emergency situations.
e. ADAPTABILITY: Ability to adjust to changes in working or living environments.
f. CONSIDERATION FOR OTHERS: Courteous in daily contacts including attitude toward different races, religions, and nationalities.
Complete only if checked
g. COMPLETE ONLY IF CHECKED.
JOB KNOWLEDGE: Has knowledge of techniques and procedures applicable to the job for which being considered.
MANAGERIAL SKILLS: Ability to plan and organize work.
SUPERVISION: Ability to supervise other employees.
CHILD CARE SERVICES: Has the ability and patience needed to work with and relate to children and youth in a positive manner.
Questions 6, 7 and 8, and Remarks
YES NO Check applicable block. (If any answer is "YES" to the following questions, give details under "Remarks.")
6. Do you have any reason to question this person's loyalty to the United States?
7. Do you have any knowledge of any behavior, activities, or associations which tend to show that this person is not reliable, honest, trustworthy, and of good conduct and character?
8. Have you ever observed or do you have knowledge of any behavior that would make you reluctant to hire or recommend this person for a position working with or caring for children/youth?
Reference's name, signature and date
Enter the reference's name (Last, First, Middle Initial), signature and the date (YYYYMMDD).
If completed telephonically: POC's name and position, signature and date
If completed telephonically, enter the POC's name and position and the POC's signature, and the date (YYYYMMDD).
Your name as a reference
In the application for employment, the candidate indicates your name as a reference and association with your organization from.
More rules for DA Form 3439
The public burden for providing this information is estimated to vary from 10 to 20 minutes with an average of 15 minutes.
It will be appreciated, therefore, if you will furnish, to the best of your knowledge, information as indicated on the enclosed DA Form 3439.
The information you provide, including your identity, will be disclosed to the person identified if he or she should so request.
A self-addressed envelope which requires no postage is enclosed.
Voluntary. However, failure to complete the form may result in no further consideration of an applicant, or a determination that an employee is no longer qualified for his or her position. In addition, incomplete, misleading, or untruthful information provided on the form may result in delays in processing the form for employment, or termination of employment.
Common questions about DA Form 3439
Is there a deadline?
Final selection for this position will be influenced by your reply, and hearing from you as soon as possible is appreciated.
Sources
[1] DA Form 3439 (APR 2024), Employment Reference Inquiry, Department of the Army (the Official source link on this page).