Employment Contact Form

TO: PRIOR EMPLOYERS, SCHOOL OFFICIALS, PERSONAL REFERENCES:

As an application for a position with Beckett Air, Inc., I have been asked to furnish information for use in reviewing my background and qualifications. In this connection, I hereby authorize the investigation of my past and present work, character, education, military and police records to ascertain any and all information which may be pertinent to my employment qualifications.

The release, either verbal or written, of any and all information by you is authorized regardless of whether such information is of record. I do hereby release all persons, firms, agencies or companies whomsoever, from any damages resulting from furnishing such information and shall not hold them liable in any respect if a job offer from Beckett Air, Inc., is not extended to me.

The authorization shall be valid six month from the date of my signature at the end of this form. You may retain this copy of my release for your files. Thank you for your assistance.