Applicant and Employee Consent Form to Investigate and Disclose Background Data
I hereby authorize American Industrial Partners (hereinafter “Company”) and its designated agents and representatives to investigate my background for employment, promotion, or retention as an employee. I understand that the scope of the investigation may include, but is not limited to, contacting and investigating my former and current employers, personal references, educational institutions where I enrolled, reviewing my criminal history records, sexual offender’s list, motor vehicle records, license verification, and my credit history. I authorize Company to use any and all information acquired to make decision regarding my employment, which may be disclosed to third parties.
I hereby authorize the complete release, without reservation, of the described records, information, or data pertaining to me which any individual, company, firm, corporation, or public agency may have. I authorize the full release of this information throughout the duration of my employment with Company.
I understand that as part of the interview process, Company requires all applicants to disclose pertinent data concerning previous work history, police and criminal records, and educational information and activities. I understand and agree that if any material facts are discovered which differ from those facts stated by me on my employment application, at my interview, or at any time prior to my commencing employment at Company (if I am offered a position with Company), I will not be offered the job. Furthermore, I understand and agree that if material facts are later discovered which are inconsistent with or differ from facts I furnished before taking the job that the Company will discipline me, which may include immediate discharge without warning. I further understand that I have the right to request disclosures regarding the nature and scope of the report(s) solicited by Company and, upon my request to Company, to receive a written summary of my legal rights as they pertain to such reports.
The cost of this investigation will be paid by Company. Nonetheless, I hereby, release and forever discharge and hold Company and its subsidiaries and affiliated companies, agents and employees, as well as the third parities supplying such information, harmless form any and all claims, demands, judgments and legal fees arising out of or in connection with this investigation, the results, or any lawful use of the results or disclosure thereto.