Orange County Community College
Background Check Release Authorization
Pursuant to the federal Fair Credit Reporting Act, I hereby authorize Orange County
Community College 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. I understand 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.
I, ________________________________, authorize the complete release of these records
or data pertaining to me which an individual, company, firm, corporation or public
agency may have. I understand that I must provide my date of birth to adequately
complete said screening and acknowledge that my date of birth will not affect any
hiring decisions. 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 Orange County Community College or its designated agents with any and
all information in their possession regarding me in connection with an application of
employment. I am authorizing that a photocopy of this authorization be accepted with
the same authority as the original.
I hereby release Orange County Community College and its agents, officials,
representatives or assigned agencies, including officers, employees or related personnel,
both individually and collectively, from any and all liability for damages of whatever
kind, which may at anytime result to me, my heirs, family or associates because of
compliance with this authorization and request to release. You may contact me as
indicated below. I understand that a copy of this authorization may be given at any
time, provided I do so in writing. I acknowledge that I have been given a copy of my
rights under the Fair Credit Reporting Act.
I 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 right will be provided to me.
Signature ________________________________________
Date ___________________
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