Consent To Screening

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In connection with services to be conducted on behalf of SAUNDERS STAFFING INC. OR PERSONNEL POOL OF VIRGINIA, I acknowledge and consent to a background investigation screening.  The screening process consists of the following elements:

Previous Employment Verification

Criminal Conviction Record Check

Personal References  (Both provided and developed references)

Psychological Evaluation  (Through questionnaire or clinical interview)

Credit Report (This information is reviewed to establish a pattern of reliability)

Substance Screening

ACKNOWLEDGEMENT:

I hereby acknowledge and understand the scope and purpose of the screening required.  To the extent that my job assignment requires, I consent to this screening evaluation, I grant the release of information by those individuals and organizations contacted, and I permit the review of pertinent records for official use by employer ad other agencies as required.

I have been informed by SAUNDERS STAFFING INC. OR PERSONNEL POOL OF VIRGINIA that the information that is obtained may be released to potential client companies.  I am aware that SAUNDERS STAFFING INC. OR PERSONNEL POOL OF VIRGINIA  will retain all screening records and I have a right to review information obtained.  I have a right to dispute any information obtained by filing a statement with the corporate office.

I understand my responsibility to report any information to my supervisor of events that occur during the course of employment that may impact my trustworthiness and reliability.

I understand that all records will be retained by SAUNDERS STAFFING INC. OR PERSONNEL POOL OF VIRGINIA  for a period of no less than five years after the date of termination of my employment.

SIGNATURE:____________________________________________

SOCIAL SECURITY:______________________________________

DATE:____________________________

All new employees of Saunders Staffing Inc. or Personnel Pool of Virginia are required to read and sign confirmation of this document.  By doing so, you acknowledge that you understand all the policies set forth herein.  Please print copy for your records & fax signed copy to our office.  FAX: 304-325-6817

SAUNDERS STAFFING INC.

PERSONNEL POOL OF  VA.   INC.

400 North Street Bluefield WV. 24701 Ph: 304-325-3369 Fax: 304-325-6817

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