California State University, Chico
Faculty Affairs
X5029
Employment/Education Information Release
Tenure-track, Visiting Professor or FT-Temp Searches
I,
being currently considered for employment by California State
University, Chico for the position of
and desiring the University to be
informed as to my previous employment and verification of my education do hereby authorize all past
and present employers, references, institutions of higher education and other appropriate persons or
agencies to release to the University any and all information regarding my employment/education
upon request.
I do hereby agree to hold such employers, institutions, references, persons, etc., harmless from
liability for releasing said information.
Signature of Applicant
Rev. 2016
Date