Under the provisions of the Fair Credit Reporting Act, 15 USC, Section 1681 et. Seq., the Americans with
Disabilities Act and all applicable federal, state, and local laws, I hereby authorize and permit ELM
Homes to obtain a consumer report and/or an investigative consumer report which may include the
1. My employment records;
2. Records concerning any driving, criminal history, civil record, workersʼ compensation (post-offer
only) and drug testing;
3. (For truck drivers only) In accordance with the Department of Transportation Motor Carrier Safety
regulations, Section 382.413, information concerning alcohol and controlled substances for the past 2
4. Verification of my academic and/or professional credentials, and information and/or copies of documents
from any military service records.
I understand that an “investigative consumer report” may include information as to my character, general
reputation, personal characteristics, and mode of living, which may be obtained by interviews with
individuals with whom I am acquainted or who may have knowledge concerning any such items of
I agree that a copy of this authorization as the same effect as an original.
I herby release and hold harmless any person, firm, or entity that discloses matters in accordance with this
authorization, as well as ELM Homes from liability that might otherwise result from the request for use of an/or
disclosure of any or all of the foregoing information.
I understand and acknowledge that under provision of the Fair Credit Reporting Act I may request a copy of any
consumer report from the consumer-reporting agency that compiled the report, after I have provided proper
I hereby authorize ELM Homes to obtain and prepare an investigative consumer report as set forth above, as part
of its investigation of my employment application.
I hereby declare the information provided by me in the application for employment is true, correct and
complete to the best of my knowledge (as is all the supplemental information submitted in conjunction
with this application). I understand that if employed, any mis-statement or omission of fact on this
application and supplemental information may result in my not being hired, or if employed, my
termination. I authorize investigation of all statements contained in this application (and accompanying
resume, if any).
I authorize you to obtain an investigative consumer report containing information obtained through
personal interviews with my neighbors, friends, and acquaintances. This report, if obtained, may include
information as to my character, general reputation, and personal characteristics. I further authorize
investigation by law enforcement, and any and all state and federal agencies, employers or any other
appropriate firms or agencies in any state. I understand that I have the right to make a written request
within a reasonable period of time to receive additional, detailed information about the nature and scope
of any such investigative report that is made.
In consideration of my employment, I agree to conform to the rules and regulations of ELM Homes and
my employment and compensation can be terminated, with or without cause, and with or without notice,
at any time, at the option of either the Company or myself. I understand that this application was
completed by me, and that all entries in it and information in it are true, correct and complete to the best
of my knowledge.
I further understand that this application is not, and is not intended to be a contract of employment, nor
does this application obligate the employer in any way if the employer decides to employ me. I
understand and agree that my employment is at-will and can be terminated by either party with or with
out notice, at any time, for any reason or no reason. No one other than an officer of ELM Homes has any
authority to enter into any agreement for employment for any specified period of time or to make any
agreement contrary to the foregoing and then only in writing signed by the officer.