Notice of Background Checks, Consent, and Authorization

Please read the following paragraphs and complete the information below

Imagine Children's Museum conducts criminal background checks in accordance with Washington state law,

In consideration for my future or continued employment, volunteer opportunity, or contractual relationship with Imagine Children's Museum, I agree to submit to Imagine Children's Museum's investigative background inquiry.

I understand that before I am denied consideration for future or continued employment, volunteerism, based on the investigation results, I will be provided a copy of the report, along with an opportunity to dispute its findings or otherwise address the information contained therein within three (3) business days of receipt. Information obtained will remain confidential on a need-to-know basis and be available only to those performing the background investigation or making employment related decisions.

By signing below, I authorize Imagine Children's Museum, to obtain investigative information as specified above, from any agency, at any time, during my employment, volunteerism, or contractual relationship. I understand that any misrepresentation, falsification, or omission of facts herein may be grounds for immediate termination or disqualification.

This field is for validation purposes and should be left unchanged.
My relationship to Imagine Children's Museum (check one):(Required)
Department(Required)

Name in Full (Must match your SS Card)(Required)
Maiden Name or Alias
Current Street Address(Required)
Date of Birth(Required)
Gender(Required)
The above information is correct and up to date. I fully understand the purpose and contents of this document and authorize the investigative background inquiries.
Date of signature(Required)