DISCLOSURE TO OBTAIN CONSUMER REPORTS FOR EMPLOYMENT PURPOSES
In connection with your employment or application for employment (including independent contractor assignments, as applicable) with QS Nurses-Kansas, LLC (“QS Nurses”), QS Nurses may obtain consumer reports or investigative consumer reports. In connection with the reports, QS Nurses may inquire into your consumer credit history, education, professional licensing, criminal history, driving history, character, abilities, work habits, mode of living, residency, immigration status, general reputation, personal characteristics, performance, experience, reasons for termination of past employment and other qualities pertinent to your qualifications for employment. If QS Nurses should obtain information bearing on your credit worthiness, credit standing or credit capacity for reasons other than as required by law, then QS Nurses will use such credit information to evaluate whether you would present an unacceptable risk of theft or other dishonest behavior in the job for which you are being evaluated.
Under the Fair Credit Reporting Act, QS Nurses is required to inform you if an offer of employment is withheld due in whole or in part to information contained in a consumer report or investigative consumer report and, upon written request, QS Nurses will provide you a copy of the applicable report. You may request more information about the nature and scope of any investigative consumer reports, and the contact information of any consumer reporting agencies from whom QS Nurses obtains your background reports. A summary of your rights under the Fair Credit Reporting Act, and additional state law notices, are also being provided to you below with this Disclosure and Authorization.
I voluntarily and knowingly authorize QS Nurses or its authorized agents, for employment purposes only, to obtain or prepare consumer reports or investigative consumer reports as part of the process of my applying for employment (including independent contractor assignments, as applicable). I understand that if QS Nurses hires me or contracts for my services, my consent will apply, and QS Nurses may prepare and obtain reports throughout my employment or contract period. I understand that such reports may include information about my prior employment or military record, education, credit worthiness and history, character, general reputation, personal characteristics, criminal record, and mode of living. I understand that this information may be obtained through a variety of sources, including, but not limited to, public records, educational institutions, financial institutions, credit bureaus, and personal interviews with my current and former employers, friends, neighbors and associates. I understand that upon written request to QS Nurses, I will be informed whether a report was requested and the nature and scope of the report.