Alltech, Inc.

Consent for Release of Information

I ________________________________________________ authorize Alltech, Inc. to send and receive the

following:

1. Assessment results related to employee screening measures

2. Information regarding performance from prospective/current supervisor
3. Employee Review Information
4. Recommendations regarding future performance

____________________________________ ________________________________________________ ____________

(Person requesting evaluation) E-Mail Address Date

____________________________________ ________________________________________________ ____________

(Person to complete evaluation) E-Mail Address Date

By signing this consent for release and exchange of information, I understand that:

1. This information will be used for interview, review and research purposes.
2. All information will be kept strictly confidential. Neither party may pass information on to a third party
without an additional consent.

_____________________________________________ _______________________________________
Signature of Prospective/Current Employee Date

_____________________________________________ _______________________________________
Signature of Alltech Inc. Date