Start with your present or last job, going back at least 10 years (if applicable). Only complete information will be accepted.
It is the policy of Schwob Building Company to verify the driving record of all employment applicants prior to employment. This investigation will be conducted by an outside service selected by Schwob Building Company to determine your insurability to drive a motor vehicle owned or leased by Schwob Building Company. At the discretion of company management, automobile insurability may be a prerequisite for hiring. Your driving record will be investigated only with your approval. Your signature indicates that you have read this document, understand it’ contents and have given permission for Schwob Building Company to conduct an investigation of your driving record.
In the event that I become an employee of Schwob Building Company, this form will further authorize Schwob Building Company to periodically check my Motor Vehicle record without any additional signed forms. I understand this authorization is to be part of my permanent employment materials file.
To Whom It May Concern:
I hereby authorize any investigator or duly accredited representative of Schwob Building Company, Ltd bearing this release to obtain any information from schools, residential management agents, employers, criminal justice agencies, or individuals, relating to my activities. This information may include, but is not limited to, academic, residential, achievement, performance, attendance, personal history, disciplinary, arrest, and conviction records. I hereby direct you to release such information upon request of the bearer. I understand that the information release is for official use only by Schwob Building Company, Ltd and may be disclosed to such third parties as necessary in the fulfillment of official responsibilities.
I hereby release any individual, Schwob Building Company Ltd and employees, including record custodians, from any and all liability for damages of whatever kind or nature which may at any time result to me on account of compliance, or any attempts to comply with this authorization.
If name changed (through marriage or otherwise) print former name here:
Employees are treated during employment without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.
As an employer with an Affirmative Action Program, we comply with government regulations, including Affirmative Action responsibilities where they apply.
The purpose for this data record is to comply with government record keeping, reporting, labor statistics, insurance and other legal requirements. Periodic reports are made to the government on the following information. The completion of this data record is optional. If you choose to volunteer the requested information please note that all data records are kept confidential. Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT AN EMPLOYMENT DECISION.
I understand that submission of this information is voluntary.