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I certify that all the information submitted by me on this application is true and complete, and I understand that any false information, omissions, or misrepresentations that are discovered will entitle my application to be rejected and if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform in writing to the company rules and regulations as outlined in the Employee Handbook and any addendum, alterations, and or amendments that may or may not be provided in writing. I agree that my employment and compensation can be terminated, with or without cause, with or without notice. At any time either my or the company's option. I understand no company representative, other than it's president, and only when in writing and signed by the president has authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.
FAIR CREDIT REPORTING ACT DISCLOSURE (Required use under Section 604(b) of the FCRA)
Penn Mechanical Group, Inc. (the “company”) intends to obtain and use a consumer report or an investigative consumer report from an external consumer reporting agency for employment purposes. These purposes may include but are not limited to:
A consumer reporting agency is a person or business that regularly assembles or evaluates consumer credit information or other information on consumers. As an applicant or an employee, you are considered a “consumer” under the Fair Credit Reporting Act. A consumer report may include information about your character, general reputation, personal characteristics, or mode of living, which is used or collected for employment purposes. An investigative consumer report also involves personal interviews with sources such as employers, educators, etc. You have a right to request disclosures of the nature and scope of any investigative consumer report that the company obtains about you. You also have other rights under the Fair Credit Reporting Act, a summary of which is available at: https://www.ftc.gov/legal-library/browse/statutes/fair-credit-reporting-act.
I hereby acknowledge that Penn Mechanical Group, Inc. may obtain consumer reports and investigative consumer reports about me from a consumer reporting agency and that they may consider information in consumer reports and investigative consumer reports as part of their decision making process regarding any aspect of my application for employment and/or continued employment with the company including periodic rescreening of current employees. I also acknowledge that I have received a copy of the Summary of Rights under the Fair Credit Reporting Act.
Authorization to Check Motor Vehicle Record
As a condition of employment with Penn Mechanical Group, Inc., we are now requiring all applicants who have the potential to drive a company vehicle to provide us with authorization to release information regarding your driving history from the past three years. Penn Mechanical Group, Inc. and Travelers Insurance now require each applicant to provide the information below and sign this form verifying that you authorize Penn Mechanical Group to access this record, this signed authorization form will be used to verify your MVR’s throughout your employment with Penn Mechanical Group. An MVR will be obtained upon initial hire and every six (6) months thereafter. This MVR will be used for verification of a valid state license.
This information is highly confidential and will not be shared outside of Penn Mechanical Group, except for when documentation of this record is required for regulatory purposes. Penn Mechanical Group, Inc. reserves the right to ask for such information for insurance purposes and to protect Penn Mechanical Group, Inc. from unlawful acts committed in Penn Mechanical Group, Inc. owned vehicles. This information will not be presented to any other entity, person or company outside of regulatory agencies.
By signing this form I acknowledge that I understand the following:
If any information on this form is misrepresented or proved to be false, my possible employment with Penn Mechanical Group, Inc. will not be accepted. If my driving privileges are suspended at any time, if there is an employment relationship with myself and Penn Mechanical Group, Inc., I am required to notify Penn Mechanical Group, Inc. Management on the day that my driving privileges have been suspended.
Authorization to Conduct Employment Background Investigation
I hereby authorize Justifacts Credential Verification, Inc, an Agent for Penn Mechanical Group, Inc. to ascertain information regarding my background to determine any and all information of concern to my record, whether same is of record or not, and I release employers and persons named in my application from all liability for any damages on account of his/her furnishing said information. I understand that this form indicates that a background search will be conducted and that this is my notification of that intent. I understand that the purpose of this background investigation is to determine my suitability for employment and may elicit information on my character, general reputation, personal characteristics and mode of living. Additionally, you are hereby authorized to make any investigation of my personal history, educational background, military record, motor vehicle records, criminal records and credit history through an investigative or credit agency or bureau of your choice. I authorize the release of this information by the appropriate agencies to the investigating service. I understand that my consent will apply throughout my employment, unless I revoke or cancel my consent by sending a signed letter or statement to the Company at any time, stating that I revoke my consent and no longer allow the Company to obtain consumer or investigative consumer reports about me.
Notice to California Applicants - You may omit minor traffic offenses, any convictions which have been sealed, expunged or statutorily eradicated, convictions more than
two years old for the following marijuana related offenses: HS11357b&c, HS11360c, HS11364, HS11365, HS11550, and misdemeanors for which probation was completed and the case was judicially dismissed. Notice to Massachusetts Applicants: You may omit a first conviction for any of the following misdemeanors: drunkenness, simple assault, speeding, minor traffic violations, affray, or disturbance of the peace, or any conviction of a misdemeanor where the date of such conviction or the completion of any period of incarceration resulting there from, whichever date is later, occurred five or more years prior to the date of this application for employment, unless you have been convicted of any offense within five years immediately preceding the date of this application for employment.
California Applicants: Under Section 1786.22 of the California Civil Code, you have the right to request from Justifacts (5250 Logan Ferry Rd, Murrysville PA 15626 – 800-356-6885, www.justifacts.com), upon proper identification, the nature and substance of all information in its files on you, including the sources of information, and the recipients of any reports on you to whom Justifacts has previously furnished within the three-year period preceding your request. Files maintained on a consumer shall be made available for the consumer's visual inspection, as follows: (1) In-person, if he appears in person and furnishes proper identification. A copy of his file shall also be available to the consumer for a fee not to exceed the actual costs of duplication services provided. (2) By certified mail, if he makes a written request, with proper identification, for copies to be sent to a specified addressee. (3) A summary of all information contained in files on a consumer and required to be provided by Section 1786.10 shall be provided by telephone, if the consumer has made a written request, with proper identification for telephone disclosure, and the toll charge, if any, for the telephone call is prepaid by or charged directly to the consumer.
Under federal law, you have the right to request disclosure of the nature and scope of our investigation by providing us with a written request within 60 days of our background investigation.
Subscriber certifies that consumer credit information, consumer reports, as defined by the Fair Credit Reporting Act, 15 U.S.C. 1681 at seq. ("FCRA"), will be ordered only when inteded to be used as a factor in establishing a consumer's eligibility for employment and that consumer credit information will be used for no other purposes. It is recognized and understood that the FCRA provides that nayone "who knowingly and willfully obtains information on a consumer from a consumer reporting agency" (such as Jusitfacts) "under false pretenses shall be fined not more than $2,500 or imprisoned not more than two years or both."
Para informacion en espanol, visite www.consumerfinance.gov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G. Street, N.W. Washington, DC 20552.
A Summary of Your Rights under the Fair Credit Reporting Act
The Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information, including information about additional rights, go to www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.