Authorization to Conduct Reference Check

I authorize SIPS Consults to investigate all statements made in my application for employment and to obtain any and all information concerning my former/current employment. This includes my job performance appraisals/evaluations, wage history, disciplinary action(s) if any, and all other matters pertaining to my employment history. I knowingly and voluntarily release all former and current employers, references, and SIPS Consults from any and all liability arising from their giving or receiving information about my employment history, my academic credentials or qualifications, and my suitability for employment with the Company.

Reference #1

Please list the details for a professional reference.

Reference #2

Please list the details for a professional reference.
My signature below authorizes my former or current employers and references to release the contents of my employment record with their organizations and to provide any additional information that may be necessary for my application for employment to SIPS Consults, whether the information is positive or negative. This form may be photocopied or reproduced as a facsimile, and these copies will be as effective as a release or consent as the original which I sign.