Background check

Step 1 of 2

Employment Application Addendum
EMPLOYMENT APPLICATION CONSENT RELEASE: Background Check
I hereby certify that the facts set forth in the completed employment application are true and complete to the best of my knowledge. I understand that if employed, falsified statements on this application may result in dismissal. I release and hold harmless any person, firm, or entity that discloses matters in accordance with this authorization, as well as from liability that might otherwise result from the request for use of and/or disclosure of any or all of the foregoing information. You are hereby authorized to make any investigation of my personal history academic/professional credentials, military service records, criminal, driving, financial and credit record through any investigative or credit bureaus of your choice.*
Section 604 "(b) of FCRA Provides Conditions for Furnishing and Using Consumer Reports for Employment Purposes.
Name(Required)
MM slash DD slash YYYY
Current Address(Required)
Previous Address(Required)
The EEOC states for the purpose of pre-employment inquiries, under the Age Discrimination in Employment act of 1967, section 1625.6, "A request on the part of an employer for information such as "DATE OF BIRTH" or "STATE AGE" on an employment application is not, in itself, a violation of the act."