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   Consent To Contact References

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Consent to Contact References

Applicant Name: ________________________________

Address: ________________________________

City, State, Zip: ________________________________

Phone Number: _________________Email__________


I, the undersigned, hereby authorize __________________________ to research my previous employment and credentials, and to contact my former employers and colleagues with regards to my employment dates, work ethic, performance, salary, attendance, professionalism, and all other information as required for the hiring process.

I release all current and former employers, colleagues, and other references from any liability or damages arising from the information they provide with regards to my employment there.


Signature _________________________ Date __________

Witness    _________________________ Date __________

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