Western Reference Release Form | Western Technical College

Western Reference Release Form

You are hereby granting the instructor named on this Reference Release Form permission to discuss your abilities and qualifications for employment with prospective employers.

You may revoke this authorization at any time by written request.

Please be aware that a copy of this reference release form will be e-mailed to:

  • Career Services Office
  • The instructor or staff listed on the form
  • Student/Graduate
Student Information
Contact Information
Reference Release Information

I hereby grant (instructor name) permission to discuss my abilities and qualification for employment with prospective employers.