Reference Check Consent & Log

Creating Lasting Memories Through Beautiful Photography.

Applicant consent to contact professional references and structured reference-check log.

BTL-PBL-05.023

Form

Vol 05 — Human Resources & Talent

Applicant Consent

Applicant full name *

Position applied for *

I authorize Beauty Through the Lens L.L.C. to contact the references and prior employers I have provided and to verify the information in my application. *

Yes / N/A

I release those parties and the Company from any claims arising from the reference exchange. *

Yes / N/A

Applicant signature *

Date *

Reference Log (one row per reference)

Reference 1 — name / employer / title / phone / date contacted

Reference 1 — key questions & responses

Reference 2 — name / employer / title / phone / date contacted

Reference 2 — key questions & responses

Reference 3 — name / employer / title / phone / date contacted

Reference 3 — key questions & responses

Interviewer Signoff

Overall reference assessment

Interviewer signature *

Date *

Prepared by

Name · Title · Date

Reviewed by

Name · Title · Date

Approved by

Owner · Katheryn L. Wilkins · Date

Controlled document — BTL-PBL-05.023. Complete all required fields (marked *). Retain per Volume 15 retention schedule.