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Criminal Background Check Form



Organization may obtain Information about you from a consumer reporting agency for volunteer purposes. Thus, you may be the subject of a "consumer report" and/or an "Investigative consumer report" which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends, or associates" These reports may be obtained at any time after receipt of your authorization and, if you are accepted to volunteer, throughout your volunteer period, You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. Please be advised that the nature and scope of the most common form of investigative consumer report obtained with regard to applicants for employment is an investigation into your education and/or employment history conducted by Clear Investigative Advantage LLC, 3000 Internet Blvd., Suite 610, Frisco TX 75O34, Tel: 888-242-2503 or another outside organization. The scope of this notice and authorization is all-encompasslng, however, allowing Organization to obtain from any outside organization all manner of consumer reports and investigative consumer reports now and, if you are accepted to volunteer, throughout the course of your volunteer period to the extent permitted by law, as a result, you should carefully consider whether to exercise your right to request disclosure of the nature and scope of any investigative consumer report.

New York applicants or employees only: You have the right to inspect and receive a copy of any investigative consumer report requested by Organization by contacting the consumer reporting agency identified above directly.


I hereby authorize the obtaining of "consumer reports" and/or "investigative consumer reports” at any time after receipt of this authorization and, if I am accepted to volunteer, throughout my volunteer period. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, Institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by Clear Investigative Advantage or another outside organization acting on behalf of Organization, and/or Organization itself. I agree that a facsimile ("fax") or photographic copy of this Authorization shall be as valid as the original.


California applicants or employees only: By signing below, you also acknowledge receipt of the NOTICE REGARDING BACKGR0UND INVESTIGATION PURSUANT TO CALIFORNIA LAW. Please let Organization know if you would like to receive a copy of an investigative consumer report or consumer credit report if one ls obtained by Organization at no charge whenever you have a right to receive such a copy under California law.

Thanks for submitting!

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