KEY MINDS INC. BACKGROUND CHECK CONSENT FORM
I, , understand that a criminal check is being conducted with respect to my employment application:
1. If the criminal check shows that I have been convicted of any of the felonies listed below under Part I, I will not be offered employment. 2. If the criminal check shows that I have been convicted of any of the felonies listed below under Part II in the past ten years, I will not be offered employment 3. I understand also that searches of various website will be undertaken, to include Nurse’ Registries, National Sex Offender Registry and the OIG’s exclusion list. If I appear in any of these registries as being unsuitable for hire, I will not be offered employment
PART I DISQUALIFYING OFFENSES
Rape as defined in IC 35-42-41 Criminal Deviate Conduct as defined in IC 35-42-4-2 (includes crimes of violence) Exploitation of an endangered children/adult as defined in IC 35-46-1-12 Failure to report battery, neglect, or exploitation of an endangered children/adult as defined in IC 35-46-1-13. A felony that is substantially equivalent to a felony listed above
PART II DISQUALIFYING UNLESS TEN (10) YEARS HAVE PASSED FROM THE DATE OF CONVICTION
Theft as defined in IC 35-43-4)
A felony that is substantially equivalent to a felony listed above