NCADD-NJ 
Applicant Information Release

I hereby authorize any person, educational institution, or company I have listed as a reference on my employment application to disclose in good faith any information they may have regarding my qualifications and fitness for employment.  I will hold NCADD-New Jersey, Inc., any former employers, educational institutions, and any other persons giving references free of liability for the exchange of this information and any other reasonable and necessary information related to the employment process.

Signed: _______________________________________________

Date: _________________________________________________