Authorization to Conduct Background Verification and General Release
In connection with my application for employment at The Faculty Student Association, hereafter “employer”, I hereby authorize the employer to conduct a background investigation pursuant to the Fair Credit Reporting Act which may include, but not be limited to, a Social Security Number verification and Criminal Conviction verification.
I am aware that I have the right under the Fair Credit Reporting Act to request from the vendor performing the background check, the nature and scope of any report they have prepared in conjunction with the verifications conducted related to my application of employment. I authorize and request all courts and law enforcement agencies to release such information without restriction or qualification.
I hereby release The Faculty Student Association, Stony Brook University, Stony Brook Medicine, Long Island State Veterans Home, their respective officers, employees and agents, from any liability and responsibility arising from preparation of the above described background check, investigation or report, and any resulting outcome or consequences, as well as any liability and responsibility arising from obtaining, reviewing, discussing any information gathered in connection with a review of my application, and any resulting consequences.