Background Check : Donate - How To Help : Terre Haute Boys & Girls Club

Comprehensive Background Check

Under the provisions of the Fair Credit Reporting Act, 15 USC, Section 1681 et seq, the Americans with Disabilities Act and all applicable federal, state, and local laws, I hereby authorize and permit Terre Haute Boys & Girls Club and Veriscreen, Inc. to obtain a consumer report and/or an investigative consumer report which may include the following:

My employment records;
Records concerning any driving, criminal history, credit history, civil record, workers compensation (post-offer only) and drug texting;
Verification of my academic and/or professional credentials; and information and/or copies of documents from any military service records.

I understand that an investigative consumer report may include information as to my character, general reputation, personal characteristics, and mode of living, which may be obtained by interviews with individuals with whom I am acquainted or who may have knowledge concerning any such items of information. I am entitled to know if employment or promotion is denied because of information obtained by my prospective employer from a consumer reporting agency.

I agree that a copy of this authorization has the same effect as an original and if my application is accepted I understand that the Terre Haute Boys & Girls Club will be allowed to perform a background check on a yearly/quarterly basis for continued qualification or as the result of reasonable suspicion.

I understand and acknowledge that under provision of the Fair Credit Reporting Act I may request a copy of any consumer report from the consumer reporting agency that compiled the report, after I have provided proper identification.

I authorize Terre Haute Boys & Girls Club and Veriscreen to obtain and prepare and investigative consumer report as set forth above, as part of its investigation of my employment application. This authorization shall remain in effect over the course of my employment. Reports may be ordered periodically during the course of my employment.

Date of birth is required only for the purpose of identification in obtaining accurate retrieval of records, and will not be used for discriminatory purposes.

Background Check Fee- $16.00

Name

First Name *

Middle *

Last Name *

Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Phone (Required)

Date of Birth (month/day/year) (Required)

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SS# (Required)

Have you ever been convicted of a felony or misdemeanor?

If so, please describe

I hereby certify that the facts contained in this application are true and complete to the best of my knowledge. I furthermore understand that a background check will be run to confirm the above information. If selected to be a volunteer/employee, I will uphold, to the best of my ability, the Terre Haute Boys & Girls Club rules and policies. I understand, that at any point in time, my status as a volunteer can be revoked at the discretion of the Boys & Girls Club administrative staff.

Electronic Signature (Required)

Date

Month

Day

Year

Email Address for Confirmation of Submission (Required)

Online Background Check Cost

16.00

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged