Mason-Dixon Concierge, LLC

Release of Information

First Name:
Last Name:
Address:
Phone Number:
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As part of the application process I am going through for a position with the following company, Mason-Dixon Concierge,LLC I hereby authorize any person, educational institution, or company I have listed as a reference on my employment application to disclose in good faith any information they may have regarding my qualifications and fitness for employment. Yes
No
Including but not limited to dates of employment, salary, duties performed, degrees received, personality traits, etc. I will hold Mason-Dixon Concierge, LLC, any former employers, educational institutions, and any other persons giving references free of liability for the exchange of this information and any other reasonable and necessary information incident to the employment process. Yes
No
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Mason-Dixon Concierge, LLC 
6400 Baltimore National Pike, # 468 
Baltimore, Maryland, US  21228
customerservice@mason-dixonconcierge.com
Toll Free 1-(888)-747-9955  Local (410)-747-3009
Saving you time for the finer things in life is our business!
 Bonded and Insured