Fillable AUTHORIZATION TO RELEASE REFERENCE INFORMATION (City University of New York)

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AUTHORIZATION TO RELEASE REFERENCE INFORMATION (City University of New York)

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Rev 7/22/20 Authorization to Release Reference Information
AUTHORIZATION TO RELEASE REFERENCE INFORMATION
Name of Candidate: _____________________________________________________________________________
Position Sought: ____________________________________ College: ____________________________________
I have applied for a position with The City University of New York (CUNY) and would like CUNY to be fully informed
of my qualifications for the position. I hereby authorize any current or former employer, professional reference,
and education/training provider, to disclose in good faith any information they may have regarding and pertaining
to my qualifications and fitness for employment.
I agree to hold such employers, references, educational/training institutions and any other persons giving
references harmless from liability or damages for providing the requested information.
A photocopy or fax of this authorization shall be as valid as the original.
Signature: ___________________________________________________ Date: ________________________
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AUTHORIZATION TO RELEASE REFERENCE INFORMATION (City University of New York)

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Completed 2 February 2022

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