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It authorizes a comprehensive review using a consumer report and/or investigative consumer report for employment, promotion, reassignment, or volunteer service decisions. The form defines potential scope, including identity verification, residences, employment and education history, references, credit information, criminal records, and other public records. 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Therefore, criminal history background checks must be conducted for all Archdiocese of Detroit Central Services, parish, and school employees, contractors, and volunteers.  \nPlease complete this form and return it to the designated administrator for criminal background checks at the abovenamed entity.  \n\n| First, Middle, Last Name | Date ofBirth | Years residing in Michigan |  |\n| --- | --- | --- | --- |\n| Other names known by |  |  |  |\n| Address | City | State | Zip Code |\n| Home Phone | Cell phone |  |  |\n| Email address | Race |  |  |\n| Male ☐ Female ☐ |  |  |  |\n| Position sought |  |  |  |\n\nPursuant to the federal Fair Credit Reporting Act, I hereby authorize the above named entity, the Archdiocese of Detroit, and its designated agents and representatives to conduct a comprehensive review of my background through a consumer report and/or an investigative consumer report to be generated for employment, promotion, reassignment or retention as an employee, contractor, or volunteer. I understand that the scope of the consumer report/investigative consumer report may include, but is not limited to, the following areas: verification of Social Security number; current and previous residences; employment history, including all personnel files; education; references; credit history and reports; criminal history, including records from any criminal justice agency in any or all federal, state or county jurisdictions; birth records; motor vehicle records, including traffic citations and registration; and any other public records.  \nI,   , authorize the complete release of these records or data pertaining to me that an individual, company, firm, corporation or public agency may have. I hereby authorize and request any present or former employer, school, police department, financial institution or other persons having personal knowledge of me to furnish the above named entity, the Archdiocese of Detroit, and its designated agents with any and all information in their possession regarding me in connection with an application of employment. I further release the above named entity, the Archdiocese of Detroit, and its related entities from all liability resulting from the furnishing of this information. I am authorizing that a photocopy of this authorization be accepted with the same authority as the original.  \nI understand that, pursuant to the federal Fair Credit Reporting Act, if any adverse action is to be taken based upon the consumer report, a copy of the report and a summary of the consumer's rights will be provided to me.  \nSignature Date","cbCaicRlc6FkoJiR","https://ap.wps.com/l/cbCaicRlc6FkoJiR","pdf",118653,"English","# Form Information\n## Applicant Details\n## Authorization and Consent\n## Fair Credit Reporting Act Notice\n## Signature and Date","[{\"question\":\"What is this authorization form used for?\",\"answer\":\"It authorizes the named entity to conduct a criminal background check using a consumer report and/or an investigative consumer report for employment, promotion, reassignment, or volunteer service decisions.\"},{\"question\":\"What types of information may be included in the background check?\",\"answer\":\"The scope may include identity verification, Social Security number confirmation, residences, employment and education history, references, credit history, criminal history from multiple jurisdictions, motor vehicle records, and other public records.\"},{\"question\":\"What happens if adverse action is taken based on the report?\",\"answer\":\"If adverse action is taken based on the consumer report, a copy of the report and a summary of the consumer’s rights will be provided in accordance with the Fair Credit Reporting Act.\"}]","Employee, Contractor, and Volunteer Criminal Background Check Authorization Form - Authorization Form 2024 | PDF",1789634094]