Authorization and Understanding of Background Screening

To the prospective employee/volunteer:

By this document, Willows Way, Inc. discloses to you that consumer reports about you will be obtained as part of the pre-employment/pre-volunteer process and may also be conducted at any time during your association with the Agency. The consumer reports may include but are not limited to a federal security check provided by E-Verify to confirm the identity and employment eligibility of all persons hired to work in the United States, an educational record screening, previous employment screening, a Division of Motor Vehicle screening, a criminal background check, a Family Care Safety Registry screening conducted by the Missouri DHSS which includes but is not limited to a criminal history screening, a Division of Family Services Child Abuse and Neglect screening, a Division of Health and Senior Services Employee Disqualification List screening, a Department of Mental Health Disqualification Registry screening. All employment/volunteer offers are contingent upon receiving satisfactory results from the above consumer reports. As a result, the employment/volunteer offer will be rescinded if any /all background screenings are unfavorable. Please note that it is the responsibility of all employees/volunteers to register with the Family Care Safety Regi stry within your first 15 days of employment. Failure to do so is a Class B Misdemeanor. Further information can be obtained from the Human Resources Department.

Prospective employee/volunteer statement:

I authorize Willows Way, Inc., its directors, employees, and agents to review the information contained in any/all consumer reports and in reports in connection with the pre-employment/pre-volunteering process. If hired, this authorization shall remain on file and shall serve as ongoing authorization for Willows Wa y, Inc. to procure consumer reports at any time during my asso ciation with the Agency. I understand that my employment/volunteer offer will be withdrawn if the results of any/all records and reports on me are not favorable.

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