You must watch this safety video to participate.
COMBINED DISCLOSURE NOTICE AND AUTHORIZATION REGARDING
BACKGROUND CONSUMER REPORTS
Important: Please read carefully before ackowledging:
A consumer report and/or investigative consumer report including information concerning your licensure,
character, employment history, general reputation, personal characteristics, police record, education,
qualifications, motor vehicle records, mode of living and/or credit and indebtedness, may be obtained in
connection with your application to be a volunteer with the organization. A consumer report and/or an
investigative consumer report may be obtained at any time during the application process or
during your volunteer work with the organization. Upon timely written request of the HR department
of CLB, and within 5 days of the request, the name, address, and phone number of the reporting agency
and the nature and scope of the investigative consumer report will be disclosed to you. Before any
adverse action is taken, based in whole or in part on the information contained in the consumer report,
you will be provided a copy of the report, the name, address and telephone number of the reporting
agency, and a summary of your rights under the Fair Credit Reporting Act.
AUTHORIZATION
You hereby authorize and request, without any reservation, any present or former employer, school,
police department, financial institution, division of motor vehicles, consumer reporting agencies, or other
persons or agencies having knowledge about you to furnish CLB and its authorized representative, Know
My Hire.com, with any and all background information in their possession regarding you, in order that
your qualifications may be evaluated.
READ, ACKNOWLEDGED AND AUTHORIZED
