HIGH SCHOOL

COLLEGE

CRIMINAL BACKGROUND INVESTIGATION AUTHORIZATION

I do hereby certify that I have never been convicted of any criminal offense anywhere in the United States, except for the following:

PLEASE READ AND SIGN BELOW
This application shall be considered active for no more than 45 days after the date submitted. After that time applicants will be required to resubmit a new application.

I have read and understood all sections of this employment application. All statements written by me are true and complete. I also understand that any false statements on this application or any future document I will be required to fill out, including but not limited to any and all This Security Service forms I will be preparing in the course of my duties shall be considered sufficient cause for dismissal.

I further understand that if employed by This Security Service I will be required to abide by all they're rules and procedures. Failure to do so could result in my termination of employment with this Security Service.

I understand that neither this document nor any other offer of employment from this Security Service or its representatives constitute an employment agreement. I consent to the release of information about my ability and fitness for the position I have applied for by employers, schools, law enforcement agencies to investigate, personnel staffing and other authorized employees of this Security Service.