Reference Release Form


REFERENCE RELEASE FORM

Our clients require business references from prospective candidates. It is our standard procedure to check theses references when referring you to our clients. Signing the disclosure statement below allows us to check your references to verify the information you have given us.

Please provide the names, telephone numbers, email addresses and titles of three business references. Briefly describe your relationship to these references. If you are working, we realize that in most cases you cannot use your current manager as a reference. Managers and peers from a previous employer are acceptable as well as past clients that can speak to your work and accomplishments.

DISCLOSURE STATEMENT

I understand that WPS, Inc. may conduct a reference check. This reference may include information regarding character, work record, general knowledge and capabilties, and reputation. I hereby acknowledge that I have read and understand this statement, and hereby authorize WPS, Inc. to obtain a reference check as described below.

Name (print)_______________________________________________________________

Birthday(mo/day)_________________________


Address___________________________________________________________________

City, State, Zip______________________________________________________________

Mobile Phone____________________________________

Home Phone_____________________________________

Personal Email ___________________________________

 

Signature_________________________________________ Date __________________


BUSINESS REFERENCES: Complete and fax to WPS, Inc. at 773-205-8689 or email to info@analyticsearches.com

NAME TITLE COMPANY PHONE EMAIL

1.______________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

 

2.______________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________


3._______________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________