As part of the final approval process of an appointment, UMD Human Resources and Equal Opportunity will conduct a reference check of previous employment as noted on your application (for the past seven years) and all degrees, licenses and certifications that you have listed on your application for employment.

You are asked to read the statement below and provide us with your Social Security Number and date of birth, so that we can complete the verification process.

While we cannot legally require you to provide your Social Security Number, be advised that without it, we may not be able to complete the verification process which is a requirement for employment.

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To whom it may concern:

I authorize the University of Minnesota Duluth to investigate my employment history for the past seven years and my education history. I also authorize any persons, companies, corporations, and/or educational facilities with whom I have been associated to furnish the University of Minnesota with any information concerning my employment and educational background which they may have on record.

To the best of my knowledge, the information included in my application materials is accurate and true. I understand that misrepresentation or omission of facts in connection with my application may be sufficient cause, in and of itself, for dismissal whenever discovered.

For degree, license, and/or certification verification purposes, provide the following information:

Other names degree may be listed under: _________________________________________

Social Security # : ____________________________

Date of Birth: _______________________________