By this document, Gateway Seminary discloses to you that a consumer report may be obtained for employment purposes as part of the pre-employment background investigation. This notice also covers any investigation done of submitted claims during the course of employment if hired.
If any adverse action (denial of employment or termination) is taken from the results of any such investigation, you may utilize rights under the Fair Credit Reporting Act. You may request a copy of the findings if said report is made by a consumer reporting agency. You may also have additional rights that would be observed under applicable state law.
This certifies that this application was completed by me, and all entries are true and complete to the best of my knowledge and recollection. I understand that once submitted, any error or omission identified may result in my disqualification or dismissal from employment.
In connection with my application for employment, I understand that investigative background checks may be conducted. I understand these investigations may include, but are not limited to: credit checks, criminal history investigations, civil cases in which I have been a principal, Workers’ Compensation claims, previous employment history, educational history (including degrees received and grade point average) and other reports. I further understand that the investigation may include contacting my current or previous employer, references, schools, government agencies or other entities for the purpose of verifying the information I have provided on my employment application, as well as developing information regarding my character or general reputation.
Information regarding Workers’ Compensation history or previous injuries is for the purpose of making certain that I am not assigned a job function which could aggravate a previously existing injury, and will be checked only after a conditional offer of employment has been extended to me, in compliance with Title 1 of The Americans With Disabilities Act.
I authorize, without reservation, any party or agency contacted by the employer or its representative to furnish the above mentioned information. I have read this entire document, and I understand that by signing I am releasing all those parties from any liability whatsoever. Furthermore, I acknowledge and agree to indemnify and hold harmless both the employer and/or its agent from and against any claims, demands or liabilities, including court costs and attorney’s fees. By my signature I am also voluntarily agreeing to all these conditions and giving my permission to perform this background check. Additionally, should I become employed by the employer, I give my permission for Gateway Seminary to provide any and all information regarding my employment with Gateway Seminary to future prospective employers or agents acting on a prospective employer’s behalf.
I certify that a photo copy of this form shall have the same authorization and force as the original.