Gold-Eagle Cooperative/CORN, LP
Applicant Notification and Release
As part of our hiring background and investigation, we may obtain consumer reports to prepare an
investigative consumer report. The investigative consumer report may consist of contacting all listed
prior employers to verify your employment history. It may also include, but not be limited to, credit
information reports, criminal history reports and driving history records. Under the provisions of the
Fair Credit Reporting Act (15 USC at 1681-1681u) as amended, before we can seek such reports, we
must have your written permission to obtain the information. You have the right, upon written request,
to a complete and accurate disclosure of the nature and scope of the investigation. You are also entitled
to a copy of your Rights Under the Fair Credit Reporting Act.
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
Gold-Eagle Cooperative / CORN, LP to obtain a consumer report and/or an investigative consumer
report which may include the following:
- My employment records;
- Records concerning any driving, criminal history, credit history, civil record, workers’
compensation (post-offer only) and drug testing;
- (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 years;
- 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
I agree that a copy of this authorization has the same effect as an original.
I hereby release and hold harmless any person, firm, or entity that discloses matters in accordance with
this authorization, as well as Gold-Eagle Cooperative / CORN, LP from liability that might otherwise
result from the request for use of and/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 identification.
I hereby authorize Gold-Eagle Cooperative / CORN, LP to obtain and prepare an investigative
consumer report as set forth above, as part of its investigation of my employment application. This
authorization shall remain in effect over the course of my employment. Reports may be ordered
periodically during the course of my employment.