Employment Background Investigation Authorization I understand that an investigative report may be generated on me that may include information as to my character, work ethics, work habits, performance and experience, along with reasons for termination of past employment, financial/credit history, criminal history records from any criminal justice agency in any or all federal state, city, and country jurisdictions, State Department, DMC records, license records to include traffic citations and registration, military records from the National Personal Record Center, education records including transcripts, and requests for records and information from any individual, company, firm corporation, past employers and public agencies(including the Social Security Administration and the Immigration & Naturalization Service). I fully understand that Rader Foods Inc. and /or its agent may be requesting information from public and private sources about any of the information noted earlier in this paragraph, and I freely give my consent for Rader Foods Inc. and/or its agent to do so. According to the Fair Credit Reporting Act (FCRA), I am entitled to know if the considerations for which I am applying are denied because of information obtained from a consumer reporting agency. If so, I will be notified and be given the name of the agency providing that report. This information may only be used to verify statement(s) made by an individual in conjunction with legitimate business needs. The depth of information available varies from state to state. The report that will be generated for employment purposes only and in compliance with the FCRA, the Driver’s Protection Act, and any applicable state statutes. I agree that a photocopy or telephonic facsimile of this authorization shall be valid as the original. This release is valid for most federal, state, and county agencies. I hereby authorize, without reservation, anyone contacted by Rader Foods Inc. and/or its agent to furnish the information described in section i. I hereby authorize, without reservation, Rader Foods Inc. and/or its agent to contact my past employers for employment verification/references. I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered. If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law. Name as it appears on your drivers license* Prefix First Last Suffix Present Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Drivers License Number*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificSignature*Please sign below:Today's Date* Date Format: MM slash DD slash YYYY We are an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, gender, sexual orientation, national origin, citizenship, age, height, weight, or disability. We assure you that your opportunity for employment with us depends solely on your qualifications.After submitting this form you will be automatically redirected to our drug testing release form.CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
