Date
000-000-0000 or (000) 000-0000
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Conditions of Employment AUTHORIZATION TO RELEASE EMPLOYMENT REFERENCE INFORMATION I understand Colorado Grille will attempt to verify statements made on my application and made during my employment interview. I authorize the Company to contact references and former employers, as indicated. I authorize my previous employers, or their designee, when contacted by Colorado Grille to verify the information given on this application and during the interview process. I authorize past employers, references and any other persons to answer all questions asked concerning my ability, character and previous employment record. I understand it is possible my prior employment records may not be accurate. Nonetheless, in consideration of the Company's review of this application, I release the Company and all former employers from any liability as a result of furnishing and receiving this reference informa-tion. I understand my failure to sign this reference release so the Company can contact references and make a full background check of my previous work history will be deemed interference with and a withdrawal of my application for employment. I agree a copy or facsimile of this authorization may serve as an original.
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