Reference Request and Release

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Date

{{date}}

To Whom It May Concern,

Re: Reference Request for {{applicant_full_name}}

Applicant Consent and Release

I, {{applicant_full_name}}, hereby authorize {{requesting_company_name}} to contact the individuals and organizations listed in my job application and curriculum vitae for the purpose of obtaining information relevant to my employment application.

I understand that this information may include, but is not limited to, my employment dates, job responsibilities, performance, attendance, and any other information deemed relevant by {{requesting_company_name}} for assessing my suitability for the position of {{position_applied_for}}.

I hereby release and discharge {{requesting_company_name}}, its agents, and any former employers, educational institutions, or other reference providers from any and all liability whatsoever of any nature or kind, arising from the act of requesting, providing, or receiving such information.

Reference Provider Information (To be completed by Applicant)

Reference Name: {{reference_name}}

Relationship to Applicant: {{reference_relationship}}

Company/Organization: {{reference_company}}

Title: {{reference_title}}

Contact Number: {{reference_phone}}

Email Address: {{reference_email}}

Request for Reference

{{requesting_company_name}} is currently considering {{applicant_full_name}} for the position of {{position_applied_for}}. The applicant has provided your name as a professional reference.

We would appreciate your candid assessment of the applicant's qualifications, work ethic, and suitability for the aforementioned role. Specifically, we are interested in your observations regarding:

- Period of employment/association with the applicant.

- Applicant's key strengths and areas for development.

- Applicant's reliability, punctuality, and attendance.

- Applicant's interpersonal skills and ability to work in a team.

- Applicant's reason for leaving (if applicable).

- Would you re-employ/recommend the applicant?

Confidentiality

All information provided will be treated with the strictest confidence and will be used solely for the purpose of evaluating {{applicant_full_name}}'s application for employment with {{requesting_company_name}}.

Response Method

Kindly complete the attached reference questionnaire or provide your comments in a separate document. Please return this information to us via email at {{hr_email_address}} or by fax at {{fax_number}} by {{response_date}}.

Should you have any questions or require further clarification, please do not hesitate to contact {{contact_person_name}} at {{contact_person_phone_number}}.

Thank You

We sincerely thank you for your time and assistance in this matter. Your input is highly valued and will help us in making an informed decision.

Signature Block

Sincerely,

___________________________

{{requesting_officer_name}}

{{requesting_officer_title}}

{{requesting_company_name}}