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    Background Check Consent

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    covenantbaptistla
    The document is a background investigation consent form for an unnamed organization. It authorizes the organization and its agents to conduct a background check on the applicant, including criminal and employment history records, and releases the organization from liability. It collects the applicant's personal information including full name, addresses, date of birth, social security number, driver's license number and state.

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    Attribution Non-Commercial (BY-NC)
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    Background Check Consent

    Uploaded by

    covenantbaptistla
    119 views1 page
    The document is a background investigation consent form for an unnamed organization. It authorizes the organization and its agents to conduct a background check on the applicant, including criminal and employment history records, and releases the organization from liability. It collects the applicant's personal information including full name, addresses, date of birth, social security number, driver's license number and state.

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    © Attribution Non-Commercial (BY-NC)

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    The document is a background investigation consent form for an unnamed organization. It authorizes the organization and its agents to conduct a background check on the applicant, including criminal and employment history records, and releases the organization from liability. It collects the applicant's personal information including full name, addresses, date of birth, social security number, driver's license number and state.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    119 views1 page

    Background Check Consent

    Uploaded by

    covenantbaptistla
    The document is a background investigation consent form for an unnamed organization. It authorizes the organization and its agents to conduct a background check on the applicant, including criminal and employment history records, and releases the organization from liability. It collects the applicant's personal information including full name, addresses, date of birth, social security number, driver's license number and state.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    _______________________________________

    (Organization Name)
    BACKGROUND INVESTIGATION CONSENT
    I, __________________________________(applicant complete name), hereby
    authorize _____________________________________(organization) and/or its agents
    to make an independent investigation of my background, references, character, past
    employment, education, criminal, or police records, including those maintained by both
    public and private organizations and all public records for the purpose of confirming the
    information contained on my Application and/or obtaining other information, which may
    be material to my qualifications as a volunteer or for employment now, and if applicable,
    during the tenure of my volunteering or employment with
    ______________________________________ (organization).
    I release ____________________________________(organization) and/or its agents
    and any person or entity, which provides information pursuant to this authorization, from
    any and all liabilities, claims, or lawsuits in regards to the information obtained from any
    and all of the above referenced sources used.
    The following is my true and complete legal name, and all information is true and correct
    to the best of my knowledge.
    ________________________________________________________________
    Full name (printed)
    ________________________________________________________________
    Maiden name or other names used
    ________________________________________________________________
    Present street address
    How long?
    ________________________________________________________________
    City/State
    Zip
    ________________________________________________________________
    Former street address
    How long?
    ________________________________________________________________
    City/State
    Zip
    ____________
    Date of birth

    ______________
    Social security #

    _____________
    Drivers license #

    ________________
    State of license

    ________________________________________________________________
    Signature
    Date

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