Consent to Use Electronic Signature
By selecting the "Yes" option below, I hereby consent to the use of my electronic signature to execute the Authorization Form, which will appear on the
following screen. I understand that my electronic signature will have the same legal effect, validity and enforceability as if I were to execute by handwritten
signature. If I do not wish to have my electronic signature to have a binding effect, I must select "No" option below.
Right to Entering into Agreement in Non-Electronic Form
I understand that I have the right to agree to the Authorization Form on paper and to execute the Authorization Form by handwritten signature. In order to
provide it in written form, I can print and upload the form in the Document Upload section upon completing my profile.
Withdrawing My Consent and Updating Information
I understand that I have the right to withdraw my consent to use electronic signature and the right to update my contact information at any time. If I decide
at any point to withdraw my consent, I understand that the withdrawal is only prospective and shall not impact the legal effectiveness, validity or
enforceability of the Authorisation Form prior to the implementation of my request withdrawal. The effectiveness of the withdrawal will be within a
reasonable period of time after receipt of the withdrawal. If I withdraw during the period where a screening service is in the process of being fulfilled or
ordered, it may impact my application for employment, contract work or other purpose.
If I decide at any point to withdraw my consent, I may call First Advantage at (+1) 800-845-6004, or provide a signed letter via mail to the address below:
Mail: First Advantage Background Services Corp.
P.O. Box 105292
Atlanta, GA 30348
Applicants based in South Asia and Pacific region (including Hong Kong, Singapore, Australia, New Zealand, Philippines and Malaysia) may instead
contact the Compliance & Privacy Manager at Privacy.firstname.lastname@example.org or (+61) 2 9017 4300
Requesting a Paper Copy of My Electronic Record
I may obtain a paper copy of the Authorization Form once I review my profile by clicking the drop-down menu next to the "Print" button. Additionally, I may
call, mail a request or email a request via the contact information above.
I have read and accept the eSignature terms outlined above. Yes
Date January 27, 2020
IMPORTANT - PLEASE READ EACH NOTICE CAREFULLY AND THOROUGHLY BEFORE SIGNING AUTHORIZATION
By signing the authorization form, you are authorizing Arise Virtual Solutions Inc. and the clients using the Arise Platform (collectively "Arise") to receive
information about you as part of your registration on the Arise Platform and enrollment in client opportunities.
The scope of your authorization is all-encompassing, allowing Arise to obtain all manner of consumer reports and investigative consumer reports (including
a criminal history) now and throughout the course of your use of the Arise Platform to the extent permitted by law. As a result, you should carefully read the
following notices and the authorizations and consider whether to exercise your right to request disclosure of the nature and scope of any investigative
consumer report under applicable law.
Date January 27, 2020
NOTICE REGARDING BACKGROUND INVESTIGATIONIn connection with your registration on the Arise Platform and enrollment in various client
opportunities available on the Arise Platform, notice is hereby given that a consumer report and/or investigative consumer report may be obtained from a
consumer reporting agency for employment purposes. Thus, you may be the subject of a "consumer report" and/or "investigative consumer report" as
defined by the Fair Credit Reporting Act (15 U.S.C. § 1681 et seq.). These reports may contain information about your character, general reputation,
personal characteristics, or mode of living, whichever are applicable. They may involve personal interviews with sources such as your neighbors, friends or
associates. The reports may also contain information about you relating to your
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criminal history, credit history, driving and/or motor vehicle records, education or employment history, or other background checks.
You have the right, upon written request made within a reasonable time after the receipt of this notice, to request disclosure of the nature and scope of any
investigative consumer report prepared by First Advantage by contacting us at First Advantage, P.O. Box 105292, Atlanta, GA 30348, 1-800-845-6004.
Information about First Advantage's privacy practices can be reviewed at: http://www.fadv.com/Privacy-Policy.aspx.
Date January 27, 2020
STATE NOTICES REGARDING BACKGROUND INVESTIGATIONPursuant to state law, the following disclosures are provided to state residents.
CALIFORNIA residents only: By signing the authorization below, you acknowledge receipt of the NOTICE - BACKGROUND INVESTIGATION PURSUANT
TO CALIFORNIA LAW. Please check the box if you would like to receive a copy of the investigative consumer report or consumer credit report, free of
charge, if one is obtained by Arise.
MASSACHUSETTS, MINNESOTA and OKLAHOMA residents only: Please check the box if you would like to receive a copy of your consumer report, free
of charge, if one is obtained by Arise.
NEW YORK residents only: You have the right to inspect and receive a copy of any investigative consumer report requested by Arise by contacting First
Advantage, P.O. Box 105292, Atlanta, GA 30348, 1-800-845-6004.
NEW YORK residents only: By signing below, you acknowledge receipt of a copy of Article 23-A of the New York Correction Law.
WASHINGTON residents only: You have the right to request from First Advantage, P.O. Box 105292, Atlanta, GA 30348, 1-800-845-6004, a written
summary of your rights and remedies under the Washington Fair Credit Reporting Act.
NOTICE REGARDING BACKGROUND INVESTIGATION PURSUANT TO CALIFORNIA LAW
California Residents - this summary of the provisions of California Civil Code section 1786.22 is being provided to you pursuant to state law.
Arise intends to obtain information about you from an investigative consumer reporting agency (ICRA), as defined under California law, for purposes of
your registration on, and use of, the Arise Platform.
Under California law you are entitled to visually inspect all files maintained about you by an investigative consumer reporting agency (ICRA), such as First
Advantage, P.O. Box 3367, Seminole, FL 33775-3367; 1-800-321-4473 ext. 8, upon request and presentation of proper identification during normal
business hours and on reasonable notice as follows:
In person. You may request a copy of your file. The ICRA may charge you for the actual copying costs associated with providing you with a copy of your
file.By telephone. A summary of all information contained in the ICRA's file about you will be provided to you via telephone, if you have made a written
request for telephone disclosure, and the toll charge, if any, for the telephone call is prepaid by or charged directly to you.By certified mail. You may make a
written request for copies to be sent to a specified addressee. ICRA's complying with requests for certified mailings shall not be liable for disclosures to
third parties caused by mishandling of mail after such mailings leave the ICRA."Proper Identification" includes documents such as a valid driver's license,
social security account number, military identification card, and credit cards. If an ICRA is unable to reasonably identify you on the basis of these
documents, they may require additional information concerning your employment and personal or family history in order to verify your identity.
The ICRA will provide trained personnel to explain any information furnished to you and will provide a written explanation of any coded information
contained in files maintained on you. This written explanation will be provided whenever a file is provided to you for visual inspection.
You may be accompanied by one other person of your choosing, who must furnish reasonable identification. An ICRA may require you to furnish a written
statement granting permission to the ICRA to discuss your file in such person's presence.
NOTICE - BACKGROUND INVESTIGATION AND USE OF CREDIT INFORMATION PURSUANT TO CALIFORNIA LAWCalifornia Residents - this
summary of the provisions of California Civil Code section 1786.22 is being provided to you pursuant to state law.
Prior to requesting a consumer credit report for employment purposes, the user of the report shall provide written notice to the person involved. The notice
shall inform the person that a report will be used, and shall identify the specific basis under subdivision (a) of Section 1024.5 of California's Labor Code for
use of the report. The notice shall also inform the person of the source of the report, and shall contain a box that the person may check off to receive a
copy of the credit report. If the consumer indicates that he or she wishes to receive a copy of the report, the user shall request that a copy be provided to
the person when the user requests its copy from the credit reporting agency. The report to the user and to the subject person shall be provided
contemporaneously and at no charge to the subject person.
California Labor Code section 1024.5 is provided below:
1024.5. (a) An employer or prospective employer shall not use a consumer credit report for employment purposes unless the position of the person for
whom the report is sought is any of the following:
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(1) A managerial position.
(2) A position in the state Department of Justice.
(3) That of a sworn peace officer or other law enforcement position.
(4) A position for which the information contained in the report is required by law to be disclosed or obtained.
(5) A position that involves regular access, for any purpose other than the routine solicitation and processing of credit card applications in a retail
establishment, to all of the following types of information of any one person:
(A) Bank or credit card account information.
(B) Social security number.
(C) Date of birth.
(6) A position in which the person is, or would be, any of the following:
(A) A named signatory on the bank or credit card account of the employer.
(B) Authorized to transfer money on behalf of the employer.
(C) Authorized to enter into financial contracts on behalf of the employer.
(7) A position that involves access to confidential or proprietary information, including a formula, pattern, compilation, program, device, method, technique,
process or trade secret that (i) derives independent economic value, actual or potential, from not being generally known to, and not being readily
ascertainable by proper means by, other persons who may obtain economic value from the disclosure or use of the information, and (ii) is the subject of an
effort that is reasonable under the circumstances to maintain secrecy of the information.
(8) A position that involves regular access to cash totaling ten thousand dollars ($10,000) or more of the employer, a customer, or client, during the
(b) This section does not apply to a person or business subject to Sections 6801 to 6809, inclusive, of Title 15 of the United States Code and state and
federal statutes or regulations implementing those sections if the person or business is subject to compliance oversight by a state or federal regulatory
agency with respect to those laws.
(c) The following definitions apply to this section:
(1) "Consumer credit report" has the same meaning as defined in subdivision (c) of Section 1785.3 of the Civil Code, but does not include a report that (A)
verifies income or employment, and (B) does not include credit-related information, such as credit history, credit score, or credit record.
(2) "Managerial position" means an employee covered by the executive exemption set forth in subparagraph (1) of paragraph (A) of Section 1 of Wage
Order 4 of the Industrial Welfare Commission (8 Cal. Code Regs. 11040).
MUESTRA DEL SUMARIO DE LOS DERECHOS BAJO LA LEY DEL ESTADO DE CALIFORNIA:
Como empleador o como usuario del reporte del consumidor, es su responsabilidad cumplir con todas las leyes Federales, Estatales y Locales que
gobiernan esta área. Le recomendamos firmemente que antes de usarlo por favor consulte con un abogado.
ESTADO DE CALIFORNIA
Una muestra de sus derechos bajo las leyes del Estado de California.
Bajo las leyes del Estado de California, usted tiene derecho, presentando previamente la identificación correcta (*), a que un investigador de la Agencia de
Reporte del Consumidor ("CRA") le suministre la información que está en su archivo y esto se hace de la siguiente manera:
1. La inspección visual de su archivo se hace en persona, durante horas hábiles y se debe solicitar, presentando en un período razonable, una notificación
previa a su visita. Usted puede venir acompañado de la persona que usted desee, la cual debe presentar identificación personal válida. El CRA puede
pedirle por escrito permiso para que el CRA pueda discutir su archivo en presencia de dicho acompañante.
2. Si desea obtener la información del sumario vía telefónica y usted la ha requerido por escrito y acompañada de la identificación correcta, el costo de la
llamada estará bajo su responsabilidad, ya sea que esta sea prepagada o que se le cargue a usted directamente.
3. Si usted pide por escrito que le envíen una copia por correo, a la dirección que usted indique, usted debe presentar previamente la identificación
correcta y esta le será enviada por correo certificado. Si el CRA accede a dicho requerimiento de envío por correo certificado, el CRA no se hace
responsable por la revelación de la información a terceras personas, causado por el mal manejo del correo después de que este haya salido de las
instalaciones del CRA.
El CRA no le cobrará mas de lo que actualmente se cobra por dar una copia de su archivo personal. El CRA cuenta con personal entrenado para explicar
cualquier información que se suministre. El CRA explicará por escrito cualquier información codificada contenida en sus archivos personales. Si usted
elige la inspección visual del archivo bajo la opción 1 arriba mencionada, esta explicación por escrito se proveerá cuando el archivo le sea entregado.
(*) El término de IDENTIFICACIóN CORRECTA, significa generalmente que la identificación suministrada se considera suficiente y veraz para reconocer a
una persona. Tal información incluye documentos tales como la Licencia de Conducir, Número del Seguro Social, Tarjeta Militar y Tarjetas de Crédito.
Solamente, si el consumidor no se puede identificar correctamente con alguna de las opciones anteriores, entonces el investigador del CRA pedirá
información adicional relacionada con su empleo o su historia personal o familiar para verificar su identidad.
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NOTICE REGARDING BACKGROUND INVESTIGTION AND USE OF CREDIT INFORMATION PURSUANT TO VERMONT LAW
Vermont Residents - this summary of the provisions of the 21 V.S.A. § 495i is being provided to you pursuant to state law and to inform you that Arise
Virtual Solutions Inc. (hereinafter "the Company") may obtain a credit report about you, for the following reason(s):
[X] The Company will not obtain a consumer credit report on you;
NOTICE REGARDING BACKGROUND INVESTIGATION PURSUANT TO WASHINGTON STATE LAW
A SUMMARY OF YOUR RIGHTS UNDER THE STATE OF WASHINGTON FAIR CREDIT REPORTING ACT
The State of Washington Fair Credit Reporting Act (WFCRA) is designed to promote accuracy, fairness, consumer confidentiality and the proper use of
credit data by each consumer reporting agency ("CRA") in accordance with the requirements of the WFCRA.
The WFCRA is modeled after the Federal Fair Credit Reporting Act. Generally, the same rights are provided under the Federal Fair Credit Reporting Act
and you have received A Summary of Your Rights Under the Federal Fair Credit Reporting Act. You can get the complete text of WFCRA RCW 19.182,
from the Washington Code Revisors Office, P. O. Box 40551, Olympia, WA 98504.
Note, however, that under the WFCRA, consumer reports addressing an applicant's or employee's credit may not be procured for employment purposes
unless (1) that information is substantially job related and the employer's reasons for the use of such information are disclosed to the consumer in writing or
(2) that information is otherwise required by law.
A consumer who is a resident of the state may elect to place a security freeze on his or her credit report by making a request in writing by certified mail to a
consumer reporting agency.
Individuals may bring a legal action in court to assert their rights under the WFCRA. The applicable statute of limitations is specified in Wash. Stat. §
19.182.120 and is generally two years from the date the cause of action accrued. Consumers who prevail on claims to enforce the WCFRA may obtain
actual damages, monetary penalties, reasonable attorneys' fees, costs, and other relief.
For questions or concerns regarding the WFCRA, please contact:
Office of the Attorney General
Consumer Protection Division
800 5th Avenue, Suite 2000
Seattle, Washington 98104-3188
Phone 1-800-551-4636 or (206) 464-6684
Statewide Toll-Free TDD: 800-833-6388
Any complaints by consumers under state law may be directed to: The Attorney General's Office via U.S. Mail or Online.
Information and forms related to filing a consumer complaint can be found at:
Additional information about consumer issues can be found at:
NOTICE - BACKGROUND INVESTIGATION PURSUANT TO NEW JERSEY LAW
New Jersey Residents - this summary of the provisions of the New Jersey Fair Credit Reporting Act (NJFCRA) is being provided to you pursuant to state
law (N.J.S.A. § 56:11-28 et seq.)
Before an employer can obtain a consumer report about you from a consumer reporting agency they must provide you with a clear and conspicuous
disclosure in writing that such may be obtained for employment purposes. You must provide written consent to the procurement, for employment purposes,
of a consumer report.When using a consumer report for employment purposes, before taking adverse action based in whole or in part on the report, an
employer must provide you with a copy of the consumer report and a description in writing of your rights under the federal Fair Credit Reporting Act as well
as the NJFCRA.You must be afforded a reasonable opportunity to dispute, with the consumer reporting agency, any information on which the employer
relied upon in your consumer report.You can request from a consumer reporting agency all information in your file, upon proper identification. This includes
sources of information and identification of each person who procured a consumer report for employment purposes during the two-year period preceding
your request. These requests must be made during normal business hours and on reasonable notice. It can be done in person or by telephone, if you have
made a written request and pay the toll charge. A consumer reporting agency must provide trained personnel to explain to you any information in the
consumer report.You can dispute inaccurate information with the consumer reporting agency. If you dispute the completeness or accuracy of any of the
information in your file, the consumer reporting agency must reinvestigate free of charge during a 30-day period. A consumer reporting agency must
provide written notice to you of the results of the reinvestigation not later than five business days after completion of the reinvestigation.If, after a
reinvestigation, any information disputed by you is found to be inaccurate or incomplete or cannot be verified, the consumer reporting agency must
promptly delete that item of information from your file or modify that item of information, as appropriate, based on the results of the reinvestigation.You can
seek damages for noncompliance under the NJFCRA.
NOTICE - BACKGROUND INVESTIGATION PURSUANT TO NEW YORK LAW
New York Residents - this summary of the provisions of the New York Correction Law is being provided to you pursuant to state law.
Licensure and Employment of Persons Previously
Convicted of One or More Criminal Offenses
§750. Definitions. For the purposes of this article, the following terms shall have the following meanings:
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(1) "Public agency" means the state or any local subdivision thereof, or any state or local department, agency, board or commission.
(2) "Private employer" means any person, company, corporation, labor organization or association which employs ten or more persons.
(3) "Direct relationship" means that the nature of criminal conduct for which the person was convicted has a direct bearing on his fitness or ability to
perform one or more of the duties or responsibilities necessarily related to the license, opportunity, or job in question.
(4) "License" means any certificate, license, permit or grant of permission required by the laws of this state, its political subdivisions or instrumentalities as
a condition for the lawful practice of any occupation, employment, trade, vocation, business, or profession. Provided, however, that "license" shall not, for
the purposes of this article, include any license or permit to own, possess, carry, or fire any explosive, pistol, handgun, rifle, shotgun, or other firearm.
(5) "Employment" means any occupation, vocation or employment, or any form of vocational or educational training. Provided, however, that "employment"
shall not, for the purposes of this article, include membership in any law enforcement agency.
§751. Applicability. The provisions of this article shall apply to any application by any person for a license or employment at any public or private
employer, who has previously been convicted of one or more criminal offenses in this state or in any other jurisdiction, and to any license or employment
held by any person whose conviction of one or more criminal offenses in this state or in any other jurisdiction preceded such employment or granting of a
license, except where a mandatory forfeiture, disability or bar to employment is imposed by law, and has not been removed by an executive pardon,
certificate of relief from disabilities or certificate of good conduct. Nothing in this article shall be construed to affect any right an employer may have with
respect to an intentional misrepresentation in connection with an application for employment made by a prospective employee or previously made by a
§752. Unfair discrimination against persons previously convicted of one or more criminal offenses prohibited. No application for any license or
employment, and no employment or license held by an individual, to which the provisions of this article are applicable, shall be denied or acted upon
adversely by reason of the individual's having been previously convicted of one or more criminal offenses, or by reason of a finding of lack of "good moral
character" when such finding is based upon the fact that the individual has previously been convicted of one or more criminal offenses, unless:
(1) There is a direct relationship between one or more of the previous criminal offenses and the specific license or employment sought or held by the
(2) the issuance or continuation of the license or the granting or continuation of the employment would involve an unreasonable risk to property or to the
safety or welfare of specific individuals or the general public.
§753. Factors to be considered concerning a previous criminal conviction; presumption.
1. In making a determination pursuant to section seven hundred fifty-two of this chapter, the public agency or private employer shall consider the following
(a) The public policy of this state, as expressed in this act, to encourage the licensure and employment of persons previously convicted of one or more
(b) The specific duties and responsibilities necessarily related to the license or employment sought or held by the person.
(c) The bearing, if any, the criminal offense or offenses for which the person was previously convicted will have on his fitness or ability to perform one or
more such duties or responsibilities.
(d) The time which has elapsed since the occurrence of the criminal offense or offenses.
(e) The age of the person at the time of occurrence of the criminal offense or offenses.
(f) The seriousness of the offense or offenses.
(g) Any information produced by the person, or produced on his behalf, in regard to his rehabilitation and good conduct.
(h) The legitimate interest of the public agency or private employer in protecting property, and the safety and welfare of specific individuals or the general
2. In making a determination pursuant to section seven hundred fifty-two of this chapter, the public agency or private employer shall also give consideration
to a certificate of relief from disabilities or a certificate of good conduct issued to the applicant, which certificate shall create a presumption of rehabilitation
in regard to the offense or offenses specified therein.
§754. Written statement upon denial of license or employment. At the request of any person previously convicted of one or more criminal offenses who
has been denied a license or employment, a public agency or private employer shall provide, within thirty days of a request, a written statement setting
forth the reasons for such denial.
§755. Enforcement. 1. In relation to actions by public agencies, the provisions of this article shall be enforceable by a proceeding brought pursuant to
article seventy-eight of the civil practice law and rules.
2. In relation to actions by private employers, the provisions of this article shall be enforceable by the division of human rights pursuant to the powers and
procedures set forth in article fifteen of the executive law, and, concurrently, by the New York city commission on human rights.