Background Report Authorization

In connection with my application for admission to UCHA may request a background report.  The background report may contain information concerning your character, general reputation, personal characteristics, mode of living, and credit standing. The types of information ordered may include but are not limited to Social Security number verification; criminal, public, educational and, as appropriate, driving records checks; verification of prior employment; reference, licensing and certification checks; credit reports; drug testing results; and, if applicable, worker’s compensation injuries. Workers’ compensation information will only be requested in compliance with the federal Americans with Disabilities Act and/or any other applicable federal, state, or local laws and only after a conditional job offer is made. Credit history will only be requested when permitted by law and where such information is substantially related to the duties and responsibilities of the position for which you are applying. The information may be obtained from private and public record sources, including personal interviews with your associates, friends, and neighbors. The investigative consumer report's nature and scope is an investigation into your education and/or employment history conducted by the Background Check Company or another outside organization.