By providing your signature, you are agreeing to abide by the rules and regulations of Yellowstone Schools. Your signature acknowledges that you have read and reviewed the Yellowstone Schools Volunteer Handbook and agree to the policies and procedures listed. All volunteer functions require you to provide your United States social security number so we can perform a criminal background check. Your social security number will only be used for this purpose.
Disclosure and Authorization for Consumer Reports
In connection with my application for employment (including contract or volunteer services) with Yellowstone Academy, I understand consumer reports will be requested by you (“Company”). These reports may include, as allowed by law, the following types of information, as applicable: names and dates of previous employers, work experience, education, accidents, licensure, credit (as allowed by law – where required, you will be presented with additional disclosures), etc. I further understand that such reports may contain public record information such as, but not limited to: my driving record, workers’ compensation claims, judgments, bankruptcy proceedings, evictions, criminal records, etc., from federal, state, and other agencies that maintain such records.
In addition, investigative consumer reports (gathered from personal interviews, as applicable, with former employers or landlords, past or current neighbors and associates of mine, etc.) to gather information regarding my work or tenant performance, character, general reputation and personal characteristics, and mode of living (lifestyle) may be obtained.
If I am hired, I understand that my employer can use this disclosure and authorization to continue to obtain such consumer reports throughout my employment, contract period, or volunteer service.
I hereby authorize procurement of consumer report(s) and investigative consumer report(s) by Company. If hired (or contracted), this authorization shall remain on file and shall serve as ongoing authorization for Company to procure such reports at any time during my employment, contract, or volunteer period. I authorize without reservation, any person, business, or agency contacted by the consumer reporting agency to furnish the above- mentioned information.
This authorization is conditioned upon the following representations of my rights:
I understand that I have the right to make a request to the consumer reporting agency: SureHire 360 (“Agency”), 8570 Katy Freeway, Suite 114, Houston, TX 77024, telephone number 1-800-677- 8282, and upon proper identification, to obtain copies of any reports furnished to Company by the Agency and to request the nature and substance of all information in its files on me at the time of my request, including the sources of information, and the Agency, on Company’s behalf, will provide a complete and accurate disclosure of the nature and scope of the investigation covered by any investigative consumer report(s). The Agency will also disclose the recipients of any such reports on me which the Agency has previously furnished within the two year period for employment requests, and one year for other purposes preceding my request (California three years). I hereby consent to Company obtaining the above information from the Agency. I understand that I can dispute, at any time, any information that is inaccurate in any type of report with the Agency. I may view the Agency’s privacy policy at their website: www.surehire360.com. I understand that I have rights under the Fair Credit Reporting Act, and I acknowledge receipt of the Summary of Rights.
