ALERT SECURITY GUARD AND PATROL SERVICES

Alert Security Guard and Patrol Services, Inc.
105601 W. Broward Blvd #201
TEL/FAX: 954-530-4362
E-MAIL: asgaps2003@yahoo.com
LIC: B2200209/Insured
www.asgaps.com
Background Check Consent Form Applicent/Employee Data

Full legall Name (First, Middle, Last) :
First Name :
Middle Name :
Last Name :
Address :
City :
State :
Zip Code :
EXPLANTATION :
You are applying for a job with ASGAOS and are being asked to consent to a background check as a part of your application process. Your finger prints will be used to obtain criminal information from legal, state and/or federal law enforcement agencies. The information obtained from the local, state or federal agencies will be used for employmant purposes only.
Please read each sentence below and think about your choice. Mark the appropriate box.
1. I agree to allow ASGAPS through it's agent to conduct an independent investigation based upon the information sumited in my Employment Application or as a supplement to my Employment Application.                                                       Yes         No
2. I agree to allow ASGAPS (or its agent) to collect and use my fingerprints for employment purposes.          Yes         No
3. I understand that ASGAPS agent does not decide whether I am offered employment.                                    Yes         No
4. I agree that ASGAPS shall use for employment purposes, the fingerprints it collects during this application process.                                                                                                                                                                                                 Yes         No
Application Signature :

       
 
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