In connection with my application for membership or employment (including contract for services) with the Flemington - Raritan First Aid & Rescue Squad, I understand that consumer reports and/or criminal background records, which may contain public record information, may be requested and obtained. These reports may include information related to my criminal record and previous driving record including court actions, citations, license suspensions and revocations.I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED TO FURNISH THE ABOVE MENTIONED INFORMATION.I have the right to obtain information as to the name, address and phone number of any agency providing such information and further, may request of that agency, upon proper identification, the nature and substance of all information in its files on me at the time of my request, including all sources of information as well as the recipients of any reports on me which that agency has previously furnished within the two(2) year period preceding my request.This authorization shall remain on file and shall serve as ongoing authorization for the organization to procure criminal background information and Motor Vehicle Reports at any time during my employment, membership or contract period. Please type your name below as a digital signature to this statement. *