ABC Shoes Background Check Authorization Form

Applicant Information

Full Name: ___________________________________________

Date of Birth: ________________________________________

Social Security Number: _______________________________

Current Address:
  _______________________________________________
  _______________________________________________
(Street, City, State, Zip)

Phone Number: ________________________________________

Email Address: _______________________________________

Authorization for Background Check

ABC Shoes requires a background check as part of its hiring process to ensure the safety, trust, and quality standards of our team. By completing this form, you authorize ABC Shoes to conduct a background check, which may include verification of personal information, employment history, education, and criminal records.

Please check each box below to indicate your consent:

·        _______ Identity Verification: Verification of your name, address, and identification details.

·        _______ Employment Verification: Review of past employment, including roles, dates, and reasons for leaving.

·        _______ Education Verification: Confirmation of educational history, including degrees, certifications, and institutions attended.

·        _______ Criminal Record Check: Screening for any past criminal convictions in compliance with applicable laws.

·        _______ Credit Check (if applicable): Review of credit history for roles with financial responsibilities.

Acknowledgment and Signature

I, __________________________________ (applicant name), authorize ABC Shoes or its designated agent to conduct a background check as part of the hiring process. I understand that the results of this check will be used solely to assess my suitability for the position applied for and that my information will be kept confidential.

I also understand that if any information provided is found to be false or misleading, it may disqualify me from employment consideration or result in immediate termination.

Applicant Signature: __________________________________

Date: __________________________________

For ABC Shoes Use Only

Requested by (Hiring Manager): __________________________________

Position Applied For: __________________________________

Date Request Sent: __________________________________