Applicant’s Consent to Contact References
As an applicant for a position with Alma College, I have been requested to furnish information
for use in determining my qualifications. To that end, I hereby authorize the release and full
disclosure of any information that any of my current and former employers may have concerning
my employment with their organization. I authorize any/all of my current and former employers
to release such employment information to those employees and agents of Alma College who
require such information in order to make a decision with respect to any matter pertaining to my
status as an employee. This information may be provided either verbally or in writing.
In addition to authorizing the disclosure and release of any information regarding my
employment, I hereby fully waive any rights or claims I have or may have against any previous
employer, its agents, employees, and representatives for providing such information, and fully
release them from any and all liability, claims, or damages that may directly or indirectly result
from the use, disclosure or release of any such employment information, whether such
information is favorable or unfavorable to me.
Further, I am hereby authorizing Alma College to communicate with anyone that they may wish
to talk with about my experiences, skills, and qualifications in the context of the position I am
currently seeking at the College. I understand the College may contact individuals beyond my
list of references.
I acknowledge that I have read this authorization and release, fully understand it, and voluntarily
agree to its provisions. This release will expire one (1) year after the date signed.
Signature (Please type your name)