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Bradley & Gmelich Dynamic Advocates providing optimum service in the most cost-effective manner.
(818) 243-5200

Optional Reference Inquiry Form


Name of Pertinent Contact
Title
Company Name
Company Address
Company Address
RE:  (Name of Applicant)
Dear (Name of Pertinent Contact):
(Name of Applicant) has applied for the position of (specify) with our company and has  authorized us, in writing, to communicate with you for verification and reference information (copy of written authorization enclosed).  Kindly complete the enclosed information sheet and return it to us immediately.
Your assistance is greatly appreciated.
Very truly yours,
HR Professional
 

The Applicant provided the following data.  Kindly make changes or point out inconsistencies where applicable.
Applicant: S.S. No.:
Address: Phone No.:
Employed from to  
Reason for leaving:
Is the applicant eligible for rehire?      Yes      No
If not, please explain why.  Attach additional sheet(s) if necessary.
Copyright 1998 Steven M. Sack

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