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It includes a mailing address selection among multiple Ohio entities and states authorization to submit information to the Ohio Bureau of Criminal Identification & Investigation and the FBI for criminal records checks. 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I voluntarily and knowingly authorize XUPD to submit information to the Ohio Bureau of Criminal Identification & Investigation (BCI) and the Federal Bureau of Investigation (FBI) to conduct a criminal records check for the information relating to me. I also voluntarily and knowingly authorize the BCI to disseminate criminal arrest, conviction and juvenile delinquency adjudication records to the contact address I have selected above. I voluntarily and knowingly release and discharge the Ohio Attorney General's Office, BCI, FBI, Xavier University and the Xavier Police Department and their employees from all claims and liability related to this authorized criminal record review and dissemination. I also acknowledge that the results of this background investigation could affect my ability to participate in a Xavier University program, could affect my employment or potential employment with Xavier University or other entities or could result in a University code of conduct and/or criminal investigation.  \nApplicant's Name (please print)  \nApplicant's Signature (date)  \nFingerprint technician (please print)  \nSignature  \nPlease read and initial below :  \nI have reviewed the information entered on this form, and I acknowledge that all information provided is accurate. I also understand that any mistakes or errors on this form are my responsibility    \nI have reviewed the information entered on the WebCheck screen, and I verify that all of the information is accurate.  \n_________  \nI have reviewed the FBI Noncriminal Justice Applicant’s Privacy Rights letter. I was offered a copy of the Privacy Rights letter and:   Declined it.   Took it with me.   Requested that it be sent to me at the email address provided on this form.","cbCaiiXNbUArywPj","https://ap.wps.com/l/cbCaiiXNbUArywPj","pdf",196236,"English","# XUPD BCI/FBI Background Check Application\n## Applicant Information\n## Reason and Mailing Address Selection\n## Authorization and Certifications\n## Signatures and Privacy Rights Options","[{\"question\":\"What information must the applicant provide on the Xavier All-Card background check form?\",\"answer\":\"The form requests applicant identity and contact details including name, state of origin, date of birth, SSN, phone, address, email, city, and additional demographic fields such as sex, race, weight, hair, and eye color.\"},{\"question\":\"How is the results mailing address selected?\",\"answer\":\"Applicants choose one direct copy option from the listed Ohio departments/boards or select NONE, to determine where results are to be mailed.\"},{\"question\":\"What does the applicant authorize regarding the BCI and FBI background check?\",\"answer\":\"The applicant certifies that provided identifiers are accurate and voluntarily authorizes XUPD to submit information to the Ohio BCI and the FBI to conduct criminal records checks, and authorizes the BCI to disseminate relevant records to the selected contact address.\"}]","Xavier All-Card - XUPD BCI/FBI Background Check Application | PDF",1790650930]