Consent

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DISCLOSURE AND AUTHORIZATION

[IMPORTANT -- PLEASE READ CAREFULLY BEFORE SIGNING AUTHORIZATION]


DISCLOSURE REGARDING BACKGROUND INVESTIGATION
Texas A&M University may obtain information about you for employment or volunteer purposes with
Texas A&M University or another Texas A&M University System member from a third party consumer
reporting agency. Thus, you may be the subject of a "consumer report" and/or an "investigative consumer
report." These reports may contain information regarding your credit history, criminal history, social security
verification, motor vehicle records ("driving records"), verification of your education or employment history,
or other background checks. You have the right, upon written request made within a reasonable time after
receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report.
Please be advised that the nature and scope of the most common form of investigative consumer report
obtained with regard to applicants for employment or volunteer purposes is an investigation into your
criminal history conducted by First Advantage, P.O. Box 105108, Atlanta, GA 30348-5108, 1-800-8456004. The scope of this notice and authorization is all-encompassing, however, allowing Texas A&M
University to obtain from any outside organization all manner of consumer reports and investigative
consumer reports now and throughout the course of your employment to the extent permitted by law. As a
result, you should carefully consider whether to exercise your right to request disclosure of the nature and
scope of any investigative consumer report.
ACKNOWLEDGMENT AND AUTHORIZATION
I acknowledge receipt of the DISCLOSURE REGARDING BACKGROUND INVESTIGATION and A
SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read
and understand both of those documents. I hereby authorize the obtaining of "consumer reports" and/or
"investigative consumer reports" by Texas A&M University at any time after receipt of this authorization
and throughout my employment, if applicable. To this end, I hereby authorize, without reservation, any law
enforcement agency, administrator, state or federal agency, institution, school or university (public or
private), information service bureau, employer, or insurance company to furnish any and all background
information requested by First Advantage, P.O. Box 105108, Atlanta, GA 30348-5108,1-800-845-6004,
another outside organization acting on behalf of Texas A&M University, and/or Texas A&M University itself.
I agree that a facsimile ("fax"), electronic or photographic copy of this Authorization shall be as valid as the
original.

Consent And Authorization


I have read and accept the terms of this Online Application.

First Name:

Reemi

Last Name:

Kalita

Country:

UNITED STATES

Address 1:

503 Cherry Street

Address 2:

Apt 133

City:

College Station

Region:

Texas

Zip Code/Postal:

77840

Date:

January 7, 2016
I consent

______________________________
Signature

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