Background Investigation Approval Form
NOTICE REGARDING BACKGROUND INVESTIGATION
CHAMPION AEROSPACE, LLC (“the Company”) may obtain information about you
from a consumer reporting agency for employment purposes. Thus, you may be the
subject of a “consumer report” and/or an “investigative consumer report” which
may include information about your character, general reputation, personal
characteristics, and/or mode of living and which can involve personal interviews
with sources such as your neighbors, friends, or associates. These reports may
contain information regarding your credit history, criminal history, social security
verification, motor vehicle records (“driving records”), verification of your
education or employment history, or other background checks. You have the right,
upon written request made within a reasonable time after receipt of this notice, to
request disclosure of the nature and scope of any investigative consumer report.
Please be advised that the nature and scope of the most common form of
investigative consumer report obtained with regard to applicants for employment is
an investigation into your education and/or employment history conducted by
Aurico Reports Inc., 116 W. Eastman St., Suite 101, Arlington Heights, Illinois,
60004, (866) 255-1852 or another outside organization. The scope of this notice
and authorization is all-encompassing, however, allowing the Company to obtain
from any outside organization all manner of consumer reports and investigative
consumer reports now and throughout the course of your employment to the extent
permitted by law. As a result, you should carefully consider whether to exercise
your right to request disclosure of the nature and scope of any investigative
consumer report.
New York and Maine applicants or employees only: You have the right to inspect
and receive a copy of any investigative consumer report requested by the Company
by contacting the consumer reporting agency identified above directly.
ACKNOWLEDGMENT AND AUTHORIZATION
I acknowledge receipt of the NOTICE REGARDING BACKGROUND INVESTIGATION,
A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and
ACRTICLE 23-A OF THE NEW YORK CORRECTIONS LAW and certify that I have read
and understand all three of those documents. I hereby authorize the obtaining of
“consumer reports” and/or “investigative consumer reports” by the Company at any
time after receipt of this authorization and throughout my employment, if
applicable. To this end, I hereby authorize, without reservation, any law
enforcement agency, administrator, state or federal agency, institution, school or
university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by Aurico
Reports Inc., 116 W. Eastman St., Suite 101, Arlington Heights, Illinois, 60004, (866)
255-1852, another outside organization acting on behalf of the Company, and/or the
Company itself. I agree that a facsimile (“fax”), electronic or photographic copy of
this Authorization shall be as valid as the original.
List all cities and states where you have lived for the past 7 years
This information will be used for background screening purposes only and will not be used as hiring criteria.