HomeMy WebLinkAbout494C Reference Auth Form 2018 writableOCDSB 494 C January 2018
REFERENCE CHECK AUTHORIZATION FORM - ADMINISTRATIVE AND SUPPORT STAFF
HUMAN RESOURCES DEPARTMENT CANDIDATE'S
REFERENCES
Dear Candidate: Thank you for taking the time to come for an interview. All candidates proceeding to the interview stage of
the selection process are asked to provide the names of 2 professional references. Reference checks
are used as a method of confirming the desired candidate for the position at the end of the competition
process. Please return the Reference Authorization Form to the Chairperson of the Selection
Committee. Thank you and good luck.
COMPETITION INFORMATION
COMPETITION TITLE: COMPETITION #:
LOCATION:
INTERVIEW DATE:
CANDIDATE INFORMATION
NAME: EIN (if
applicable):
JOB TITLE (if applicable):
SCHOOL/DEPT. LOCATION:
(if applicable):
SIGNATURE:
BUSINESS REFERENCE INFORMATION
Please provide the names and contact information of two professional references who know you, your capabilities and to
whom we may refer in confidence. If you choose not to use your current supervisor as one of the references, please be
advised that your current supervisor will be contacted in addition to the two references provided on this form. You can
attach your list of references to this page rather than completing below. Please ensure that it is signed and dated.
1. Name and Position Title of Reference: Type of Business (or Company name):
Period of Employment. (How long have you worked
with this person or Employer)
From: To:
Telephone Number of Reference:
What is/was your position (ie. role/ duties/
responsibilities)
2. Name and Position Title of Reference: Type of Business (or Company name):
Period of Employment. (How long have you worked
with your named reference / or Employer)
From: To:
Telephone Number of Reference
What is/was your position (ie. role/duties/
responsibilities)
Note: Information may be requested, with your approval, from sources other than those listed above.
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