APPLICANT INFORMATION RELEASE
This Agreement ("Agreement") is made and effective this [Date],
BETWEEN: [EMPLOYEE NAME] (the "Employee"), an individual with his main address at:
[COMPLETE ADDRESS]
AND: [YOUR COMPANY NAME] (the "Company"), a corporation organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at:
[YOUR COMPLETE ADDRESS]
In connection with my application for employment with the Company, I hereby agree as follows:
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 the 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.
EMPLOYEE COMPANY
Authorized Signature Authorized Signature
Print Name and Title Print Name and Title