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
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Male
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Female
Marital Status
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Single
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Married
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Divorced
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Widowed
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Separated
Permanent Address
Present Address (if different)
Phone number
Date of Birth
Place of Birth
Employment Information
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Address |
Position |
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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
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Relationship |
Phone Number |
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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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