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Request to Provide a Reference
By completing this form you are requesting to confirm with Human Resources and/or Faculty Affairs that the employee (or former employee) for whom you would like to provide a positive reference does not have any misconduct on file or is not the subject of a pending investigation.
CSUN Requestor Information
Name
Title
Department
Email
Phone
Employee (or former employee) - person for whom you would like to provide a reference
Employee Type
Faculty
Staff
MPP
Represented Student (TA, GA, ISA)
Non-represented Student Employee
Employee Information
Employee Name
Employee ID (if known)
Employee Title
Employee Department
Is the person currently employed with CSUN?
Yes
No
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