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Application for
Employment Report
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Employees of
are required by policy to have acceptable credit histories at the
time of hiring and to maintain acceptable credit histories while employed.
Therefore, before an applicant for employment is hired, before an employee
is promoted, and at other appropriate times,
may review the individual's credit history in order to verify
compliance with
policy.
Information you
provide below will be used to access your consumer credit report. |
| Name:
Address:
City, State, Zip:
Social Security :
Applicant or Employee: Please read
carefully and sign below:
| I UNDERSTAND THAT TO BE ELIGIBLE FOR EMPLOYMENT WITH
, MY CREDIT HISTORY MUST BE IN GOOD STANDING. I AUTHORIZE
TO OBTAIN A CONSUMER CREDIT REPORT ABOUT ME, BOTH BEFORE AND
(IN THE EVENT I AM HIRED) AFTERWARDS FOR THE PURPOSE OF EVALUATING MY
ELIGIBILITY FOR EMPLOYMENT, PROMOTION, OR CONTINUED EMPLOYMENT. I
UNDERSTAND THAT A COPY OF MY CREDIT REPORT AND A SUMMARY OF MY RIGHTS AS
A CONSUMER WILL BE PROVIDED TO ME BEFORE ANY DECISION ADVERSELY
AFFECTING MY EMPLOYMENT IS MADE, IF THE DECISION IS BASED ON MY CONSUMER
CREDIT REPORT. |
Signature
Date
Phone Number
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