Pre-Employment Background Check Authorization

understand that as part of the employment process, Seniorly Yours, LLC needs to complete a background check on me regarding:
1. Criminal record;
2. Sex and Violent Offenders Record;
3. Employment Verification;
4. Education Verification;
5. License Verification;
6.Motor Vehicle Records;
7. Personal/Professional Reference Verification;
8. Medical Suitability
9. Drugs/Alcohol
10. Child Abuse Clearance (if indicated)

• I authorize all federal and state agencies, persons and organizations that may have information relevant to this research to disclose such information to Seniorly Yours, LLC or its authorized agent(s).
• I understand that this authorization is to be part of the written and signed employment application.
• I also understand that I do not have to give authorization for a background check but if I don't give permission, my employment application will not be processed further.
• I understand that I have specific rights under the federal Fair Credit Reporting Act (FCRA) and may have additional rights under relevant State law.
• I further authorize that a photocopy of this authorization may be considered as valid as the original.
• I hereby certify that allstatements on this form are true and correct to the best of my knowledge and belief. I understand that employment with Seniorly Yours, LLC is contingent upon successful completion of a background check.