BACKGROUND CHECK CONSENT

BACKGROUND CHECK CONSENT
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number
Driver's License Number
I herby give consent for Attentive Care LLC to conduct a background check for the purpose of employment. I am aware that any falsification made in line with this authorization and my employment application shall become a bar for admission of my application.
I authorize that any information acquired by Attentive Care LLC shall solely be used for the application, and the information obtained through this background check will only be used for employment purposes.
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