CANDIDATE RELEASE FORM

In order that officials of New Mexico State University and Doña Ana Community College may be fully informed as to my professional character, experience, credentials, and qualifications in consideration of my application for the position referenced below, I hereby authorize the release of such information to New Mexico State University and Doña Ana Community College officials, officers, agents, and employees. I do also hereby release former employers, coworkers, and any other persons having information concerning my employment, educational history, credentials, and relevant qualifications from any and all liabilities (subject to correct and accurate information being conveyed).

I understand that NMSU/DABCC has no obligation to extend further consideration to my application package if I do not sign this release. I further understand that if I am a finalist my letter of application and resume/vitae may be publicly disclosed. Reference letters and list of references will not be made available to the public.

I certify that all information contained in my resume/vitae/application/transcripts is current, accurate, and complete to the best of my knowledge. I understand that the willful giving of any false information may result in non-consideration of my candidacy, withdrawal of an offer, or termination of employment.

SIGNATURE OF CANDIDATE DATE

Please Print Name

DEPARTMENT: Doña Ana Community College

POSITION TITLE:

Return to: Doris Gleason, Human Resources Manager

Doña Ana Community College

MSC-3DA, PO Box 30001

Las Cruces, NM 88003-8001