, do swear/confirm that the above answers given
are true and correct. I understand responses given are subject to verification by Cramer Security and Investigations, Inc.
EDUCATION:
MILITARY SERVICE:
EMPLOYMENT HISTORY:
Personal References:
Name: ____________________________________________________________________________
Address: __________________________________________________________________________
Contact: __________________________________________________________________________
Name: ____________________________________________________________________________
Address: __________________________________________________________________________
Contact: __________________________________________________________________________
Name: ____________________________________________________________________________
Address: __________________________________________________________________________
Contact: __________________________________________________________________________
Other Information:
State: __________________________________
Number: _______________________________
Disclosure - Preparation of a Consumer Report
To process your application with Cramer Security and Investigations, Inc., an investigative consumer report (background check) may be conducted by Verified Credentials, Inc. In accordance with the U.S. Fair Credit Reporting Act 606, we notify you of the following: A background report may contain information bearing on your character, general reputation, personal characteristics, mode of living and credit standing. Information may include, but is not limited to, employment history, education, criminal records, credit history, motor vehicle records, personal references, and any data provided on this application, or during the interview process.
Please read the following and, if acceptable, authorize us to order am investigative consumer report to be prepared by Verified Credentials, Inc.
Authorization - To Prepare Investigative Consumer Report
I authorize the appropriate individuals, companies, institutions, or agencies to release information requested for the preparation of an investigative consumer report on me and to respond to all inquiries necessary for the same.
Legal Last Name: _______________________________
Legal First Name: _______________________________
Legal Middle Name: __________________
Address: __________________________________________________________________________________________________________________________________
Please list any additional places you have lived, worked, and attended schools during the past 7 years:
I authorize a photocopy and/or an electronic copy of this authorization to be accepted with the same authority as the original and, if employed by the above named company, this authorization will remain in effect throughout my employment.
