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    Acknowledgment and Authorization

    Criminal History Addendum

    Please note that a "Yes" answer to any of the following questions will not necessarily disqualify you from employment. This company will only exclude you from employment if we determine that your criminal history has a bearing on the job for which you are applying and it is a business necessity to exclude consideration of your application. Factors such as your age at the time of the offense, how long ago the offense occurred, the seriousness and nature of the offense, and the relevancy of the offense to the job you will be performing will be considered when making any employment decisions. Arrests will not be considered, only convictions.

    1. Have you ever been convicted of a crime (felony or misdemeanor, other than minor traffic violation)? (Do not include convictions that have been sealed or expunged pursuant to a court order, but do include those offenses to which you pleaded guilty, no contest or received deferred adjudication or probation).*

    2. Are you currently under indictment or awaiting trial for any criminal offense or on probation or parole?*

    3. Have you ever committed an act of violence in the workplace?*

    I understand that, as a condition of my consideration for employment with Serenity Plumbing, or as a condition of my continued employment with Serenity Plumbing, the company may obtain a consumer report that includes, but is not limited to, my criminal history, driving records, social security verification, employment and education verifications, any other public records and any other information bearing on my character, general reputation, personal characteristics and trustworthiness.

    I hereby authorize and consent to Serenity Plumbing's procurement of such a report. I understand that, pursuant to the federal Fair Credit Reporting Act, Serenity Plumbing will provide me with a copy of any such report if the information contained in the report is, in any way, to be used in making a decision regarding my fitness for employment with Serenity Plumbing. I further understand that such report will be made available to me prior to any such decision being made, along with the name and address of the reporting agency that produced the report.

    I understand that if Serenity Plumbing determines that my criminal record is relevant, I will be given notice that I have been screened out because of a criminal conviction; I will be given an opportunity to demonstrate that the exclusion should not be applied due to my particular circumstances; and Serenity Plumbing will consider whether the additional information I provided warrants Serenity Plumbing making an exception in my case.

    I understand the above information about the company’s criminal history check process. I swear that the information I have provided about my criminal history is true and correct. The information I have provided about my criminal history (if any) is complete and fully explained.

    I understand that any misrepresentation, deception, or false statement made during the employment process may result in my not being considered for employment, and if not discovered until after my becoming employed, is grounds for, and may result in, my immediate termination.

    I have read, understand, and by my typed name below consent to these statements.