Education and Employment
Verification Authorization Form
EDUCATION AND EMPLOYMENT VERIFICATION AUTHORIZATION FORM
This form is intended to make it simple to conduct education and employment verifications.
You may use it to complete the education and employment history questions of the candidate
before giving the hiring packet to your unit’s Key Contact for processing.
Candidate’s Name: ____________________________________ DOB: _____________
Position Title: ________________________________________
EDUCATION VERIFICATION
A telephone call or an email to the Registrar’s Office of the institution will enable you to verify
education. Year of graduation or dates of enrollment as well as degree major are considered
public information and are given upon request.
Highest degree earned: ________Institution: ______________ Graduation Date: _________
or Dates enrolled: ____________ to____________
Verified with: ________________________________________________
(Name and Title)
Name of person conducting this verification:_____________________ Date: _____________
EMPLOYMENT VERIFICATION
To verify dates of employment, contact that Human Resources office of the former employer.
This information can be requested by telephone or by email. Eligibility for rehire will not
always be available to the HR office.
Name of Employer: ___________________________________ Telephone: _____________
Employed from: ________________________ to: __________________________
Job Title: _____________________________ Eligible for Rehire: Yes
or No
Verified with: ___________________________________________________________
(Name and Title)
Name of person conducting this verification: ___________________ Date: ___________
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