This document grants a company authorization to obtain information relating to the
applicant's previous employment, education, or personal references. This document
provides a release by the applicant to the company in respect to obtaining such
information. This release contains standard language but can be modified to fit the
needs of the employer. This release is useful to a small business that is going through
a hiring process and seeking to obtain further information on applicants.
APPLICANT INFORMATION RELEASE
This Agreement is made and effective on this ____ [Month] ____ [Date], 20____, by and
between _____________________________ [Instruction: Insert the name of employee],
located at __________________________________________ [Instruction: Insert the address
of the employee] ("Employee") and _____________________________ [Instruction: Insert
the name of company], with a place of business at _______________________________
[Instruction: Insert the address of the company] ("Company ").
In connection with my application for employment with the Company. I hereby agree as
I hereby authorize any person, educational institution, or company I have listed as a reference on
my employment application to disclose in good faith any information they may have regarding
my qualifications and fitness for employment. I will hold __________ [Instruction: Insert the
name of company], any former employers, educational institutions, and any other persons
giving references free of liability for the exchange of this information and any other reasonable
and necessary information incident to the employment process.
For: EMPLOYEE For: COMPANY
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