Jacksonville University Background Investigation
To be considered for employment and/or volunteer services with Jacksonville University,
you are subject to a background investigation with the Florida Department of Law
Enforcement and/or other agencies that provide consumer reports. Your signature
below certifies your acknowledgement and authorization of the following:
1) I hereby authorize Jacksonville University to verify all statements
contained in the application, and to contact all references, employers,
or any other persons or agencies having information relative to such
statements.
2) I request any duly constituted law enforcement agency, judicial officer,
or consumer reporting agency to furnish Jacksonville University with all
information at its disposal pertaining to any criminal conviction record
on me.
3) I hereby release Jacksonville University and any law enforcement
agency, judicial officer, or other agency or individual from any liability
arising from disclosure of said information.
4) I understand that, pursuant to the federal Fair Credit Reporting Act, if
any adverse action is to be taken based upon any consumer report, a
copy of the report and a summary of the consumer’s right will be
provided to me.
I certify that I have read, understand, and agree with all items listed above.
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Signature Date
