Background Check Authorization Form

Background Check Authorization Form

Please fill out this form to authorize a background check for employment consideration.

Personal Information

Name

    Nickname

      Sex

        • Male

        • Female

        Marital Status

          • Single

          • Married

          • Divorced

          • Widowed

          • Separated

          Permanent Address

          Present Address (if different)

            Email

              Phone number

                Date of Birth

                  Place of Birth

                    Employment Information

                    Employer

                    Address

                    Position

                    Education Information

                    Elementary Education

                    Name of School

                      Address

                        Years Attended

                          Secondary Education

                          Name of School

                            Address

                              Years Attended

                                Tertiary Education

                                Name of School

                                  Address

                                    Years Attended

                                      Criminal History

                                      Have you ever been arrested, charged, or found guilty of any criminal offense or legal violation?

                                      Are you currently under any investigation or pending charges?

                                      Are you presently under probation or parole?

                                      If the answer is "Yes" to any of the questions above, please provide details below:

                                        Character References

                                        Name

                                        Relationship

                                        Phone Number

                                        Authorization

                                        I declare that the information provided in this form is true and complete to the best of my knowledge. I authorize [Your Company Name] and its representatives to conduct a thorough background check for employment purposes, which may include personal information, education, employment history, and criminal records. I also authorize third-party agencies to assist in this investigation. I release all parties involved in this investigation from any liability arising from the disclosure or use of such information.

                                        Name:

                                        Date:

                                        Authorization Form Templates @ Template.net

                                        Thank you for completing this form!

                                        If you have any questions, please contact [Your Company Email].

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