ECF - Davis-Burns Group

Electronic Consent Form

Candidate Information
PCODE: E
For employment purposes, the Company may obtain consumer reports on you as an applicant or from time to time during employment. “Consumer reports” are reports from consumer reporting agencies and may include driving records, criminal records, etc.For such employment purposes, the Company may also obtain investigative consumer reports. Some reference checks by a consumer reporting agency fall into this category. An “investigative consumer report” is a consumer report in which information as to character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with neighbors, friends, associates, acquaintances, or others. You have a right to request disclosure of the nature and scope of an investigation and to request a written summary of consumer rights.
Employee Candidate Authorization

Federal Disclosure of Intent to Obtain Consumer Reports or Investigative Consumer Reports"Consumer reports" are reports from consumer reporting agencies and may include driving records, criminal records, etc.For such employment purposes, the Company may also obtain investigative consumer reports. Some reference checks by a consumer reporting agency fall into this category. An "investigative consumer report" is a consumer report in which information as to character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with neighbors, friends, associates, acquaintances, or others.You have a right to request: (i) disclosure of the nature and scope of the investigation requested, (ii) a written summary of consumer rights, and (iii) a copy of such report.
Today's Date*

MonthDayYear
Date
Full Name*

First NameMiddle NameLast NameSuffix
Maiden Name or other names used
(separate by comma)
Email Address*
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Home Phone*
Please enter a valid phone number.
Cell Phone*
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Date of Birth*

MonthDayYear
Race*
Gender*
Social Security Number*
Driver's License Number*
Driver's License State*
Other Driver's License (states) held in past 5 years.

SecureHire Employment Service Privacy Statement
Notice of Information/Privacy Practices

SecureHire, Inc.Woodstock, GA 30188 This "Notice of Information/Privacy Practices" is used to inform SecureHire Inc. website visitors regarding our policies with the collection, use, and disclosure of Personal Information if anyone decided to use our Service. If you choose to use our Service, then you agree to the collection and use of information in relation to this policy. The Personal Information that we collect is used for providing and improving the Service. We will not use or share your information with anyone except as described in this Privacy Policy. Information Collection and Use: For a better experience, while using our Service, we may require you to provide us with certain personally identifiable information, including but not limited to your name, phone number, and postal address. The information that we collect will be used to contact or identify you. Log Data: We want to inform you that whenever you visit our Service, we collect information that your browser sends to us that is called Log Data. This Log Data may include information such as your computer’s Internet Protocol ("IP") address, browser version, pages of our Service that you visit, the time and date of your visit, the time spent on those pages, and other statistics.
ECF Name

Electronic Consent Form

PCODE: E

Employee Candidate Authorization

Notice of Information/Privacy Practices

Authorization