Authorization Form for Personal Information – Employment

English

I,*
First Last
hereby authorize References & More Services Ltd. to verify the information mentioned in my resume and to conduct any other investigation relevant to my candidacy and to my employment; specifically to verify references and confirm any post-secondary education degrees or certificates.*
Date
Date Format: MM slash DD slash YYYY
Organization Requesting References*
Three employment references – at least one supervisor
Name of Reference
First Last
Title
Name of Organization
Relationship to candidate
Phone number
Email
Name of Reference
First Last
Title
Name of Organization
Relationship to candidate
Phone number
Email
Name of Reference
First Last
Title
Name of Organization
Relationship to candidate
Phone number
Email

Three employment references – at least one supervisor