The applicant authorizes CIC Business Credit Reporting, Inc. D/B/A/ NACM Nashville and Western Kentucky University Police Department to obtain a Consumer credit report from any credit reporting agency.

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APPLICANT'S SIGNATURE

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DATE

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PRINT NAME

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SOCIAL SECURITY NUMBER

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HOME ADDRESS (STREET, CITY, STATE AND ZIP CODE)

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DATE OF BIRTH

 

 

To: Step 5

CONSUMER REPORT NOTICE

 

 

Western Kentucky University

Police Department

 

 

 

NOTICE TO APPLICANT:

 

Western Kentucky University Police Department will rely upon a consumer credit report as part of the employment process.  This notice is given in compliance of the Fair Credit Reporting Act.

 

 

 

 

 

 

Applicant please detach and keep.