Full Name: | |
Address: | |
City: | |
State: | |
Zip Code: | |
Email Address: | |
Phone Number: | |
Date of Birth: | |
Social Security Number: |
I hereby authorize [Your Company Name] to conduct a background check, including but not limited to criminal history, employment verification, and education verification.
Yes, I authorize.
No, I do not authorize.
I agree to undergo drug testing as part of my employment with [Your Company Name].
Yes, I consent.
No, I do not consent.
I authorize [Your Company Name] to obtain and review my driving record for the purpose of my employment.
Yes, I authorize.
No, I do not authorize.
I authorize [Your Company Name] to contact my previous employers and references listed on my resume or application.
Yes, I authorize.
No, I do not authorize.
I, [Employee Full Name], hereby acknowledge that I have read and understood the above consent and authorization statements and voluntarily consent to them.
Signature:
Date:
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