Interview Release Form

INTERVIEW RELEASE FORM

Personal Information

Position and Interview Details

Interview Date:   Interview Time:   Location/Medium:

Consent and Release

By checking the boxes below and signing this form, the Applicant grants the Interviewing Organization and its affiliates, successors, agents and assigns (collectively, the Organization) the irrevocable, worldwide, perpetual right to record, reproduce, edit, publish, transmit, display and otherwise use Applicant's interview, voice, image, statements and biographical information in any media now known or hereafter developed, for recruitment, training, evaluation, internal review and promotional purposes at the Organization's discretion. Applicant waives any right to inspect or approve the finished materials and releases the Organization from any claims, including claims for libel, invasion of privacy, or violation of publicity rights arising out of use of the recorded materials.

I consent to participate in the interview.

I consent to audio recording of the interview.

I consent to video recording and photography during the interview.

I consent to the Organization's use of my likeness and statements in recruitment, promotional and training materials without monetary compensation.

Applicant understands that the Organization will retain recorded materials for business purposes and that such materials may be viewed by Organization personnel and contractors involved in recruiting, hiring, training and marketing. Applicant acknowledges that no promise of confidentiality, employment, or other compensation has been made in exchange for this consent.

Employment History

Please provide at least two previous employers. Include most recent first.

Education

References

Please provide three professional references who can verify your work history and qualifications.

Authorizations

Authorization to Contact and Verify: I authorize the Organization to contact my previous employers, references and educational institutions to obtain and verify information regarding my employment, education and qualifications. I further authorize such persons and entities to provide truthful and complete information to the Organization. I release all such persons and entities from any liability arising from the disclosure of such information.

I authorize the Organization to contact previous employers and references as described above.

Background Screening: Where permitted by law and when applicable to the position, I consent to the Organization obtaining background reports, including criminal, credit (where permitted), and other public record checks, and authorize release of such information to the Organization for purposes of evaluating suitability for employment or engagement.

I consent to background and reference checks as described above.

Legal Disclosures

At-Will Employment: If an offer of employment is extended, the Applicant understands that employment with the Organization is at-will unless otherwise expressly agreed in writing by an authorized representative of the Organization. Either the Applicant or the Organization may terminate the employment relationship at any time, with or without cause or notice.

Equal Employment Opportunity: The Organization is an equal opportunity employer. Decisions regarding recruitment, selection, hiring and promotion are based on qualifications, performance and business needs without regard to protected characteristics under applicable law.

Applicant Certification

I certify that the information provided on this form and in any accompanying materials is true, correct and complete to the best of my knowledge. I understand that any misrepresentation, omission or falsification may result in the immediate rejection of my application or, if employed, termination. I acknowledge that I have read and understand the consent and release language above and that my consent is given voluntarily.

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