This is to inform you that as part of our procedure for processing your application for employment, an investigative consumer
report may be prepared whereby information is obtained concerning your character, general reputation, personal
characteristics, and mode of living. You have the right to make a written request within a reasonable period of
time to receive additional information about the nature and scope of this investigation.
that the information provided in this application is complete and accurate and agree that concealment or falsification
of any information is grounds for dismissal. You have my permission to contact schools, references, and past employers
to verify any facts in establishing my qualifications.