I have read the Disclosure Regarding Employment Background Report provided by CBT INTEGRATED LOGISTICS L.L.C.. (“COMPANY”) and this Authorization to Obtain Employment Background Report. By my signature below, I hereby consent to the preparation of background reports regarding me and the release of such reports to the COMPANY and its designated representatives, to assist the COMPANY in making an employment decision involving me at any time after receipt of this authorization and throughout my employment, to the extent permitted by law. To this end, I hereby authorize, without reservation, any state or federal law enforcement agency or court, educational institution, motor vehicle record agency, credit bureau or other information service bureau or data repository, or employer to furnish any and all information regarding me to the COMPANY. I agree that a facsimile (“fax”), electronic or photographic copy of this Authorization shall be as valid as the original.
(1) I certify that the information contained herein is true and understand that any falsification or omission may result in the rejection of my application or termination of my employment. Information regarding age, sex, or race will not be used as part of any employment decision. I give authorization for an update inquiry from time to time during my employment. (2) I understand that the employer’s clients may seek confirmation of an employee’s criminal history record and by signing I hereby grant approval of my record being released to my employers clients should it be requested. (3) I hereby release this company, its corporate affiliates, its employees, its authorized agents and representatives and all other involved in this background investigation from any liability in connection with any information they give or gather and any decisions made concerning my employment based on such information.