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Sports and Music Camp, Inc.
Background Check Authorization Form
(This form authorizes the camp to obtain background information and must be completed
by the applicant. The camp must keep this completed form on file for at least five years
after requesting a background check.)
In the interest of safety and security I, the undersigned applicant, authorize Sports and Music
Camp, Inc., through its
independent contractor, First Advantage Background Services Corp. (P.O. Box 105292, Atlanta, GA
30348, 1-800-845-6004,
adv.com/), to procure background information (also known as a “consumer report and/or investigative
consumer report”) about me, prior to, and at any time during, my service to the organization. This report
may include my
driving history (if applicable to employment), including any traffic citations; a social security number
verification; present and
former addresses; criminal and civil history/records; and the state sex
offender records.
I acknowledge receipt of the DISCLOSURE RE