Parks Forestry and Recreation

Reference Consent Form

Name Job Applied for

Division Location

Please provide at least two (2) employment and/or professional references. References must be work
related and someone to whom you have reported (i.e. supervisors or managers). If you do not have recent
work experience, volunteer coordinators and teachers may be used.
Current Supervisor/Manager or Most Recent Reference
Name of Reference Job Title

Organization Name Employment/Volunteer Period

Relationship to Candidate Daytime Telephone No.

Email or Fax * (optional) for external references only

Reference
Name of Reference Job Title

Organization Name Employment/Volunteer Period

Relationship to Candidate Daytime Telephone No.

Email or Fax * (optional) for external references only

Reference
Name of Reference Job Title

Organization Name Employment/Volunteer Period

Relationship to Candidate Daytime Telephone No.

Email or Fax * (optional) for external references only

* Alert: E-mail and Fax are not secure means to transmit personal information and increase risk of inadvertent disclosure to
persons other than intended recipients. By providing a referee's e-mail and fax information, you consent to allow use of these
methods if unable to establish telephone contact.

I authorize the City of Toronto to contact the persons listed above for the purpose of obtaining reference
information. These persons are authorized to disclose such reference information.
Signature Date

December 2012

This personal information is collected under the authority of the City of Toronto Act, 2006, s.136 (c) and Art. IV of Ch. 169, of the
Municipal Code. The information is used only to obtain reference information during the final stage of the selection process and will
not be shared with any other party for any purpose. Questions about this collection can be directed to Senior Human Resources
Consultant, Human Resources Division, Metro Hall, 55 John Street, 5th floor, Toronto ON, M5V 3C6, telephone 416-392-3966.