Employment Application

Consent
Electronic Transaction*
ELECTRONIC SIGNATURE CONSENT

As part of the selection process at DIXIE POWER, the "Company," you will need to consent to a background check electronically. By typing your name, you are consenting to receive any communications (legally required or otherwise) and all changes to such communications electronically. In order to use the website, you must provide at your own expense an Internet connected device that is compatible with the minimum requirements outlined below. You also confirm that your device will meet these specifications and requirements and will permit you to access and retain the communications electronically each time you access and use the website.

System Requirements to Access Information

To receive and view an electronic copy of the Communications you must have the following equipment and software:

A personal computer or other device which is capable of accessing the Internet. Your access to this page verifies that your system/device meets these requirements.
An Internet web browser which is capable of supporting 128-bit SSL encrypted communications, JavaScript, and cookies. Your system or device must have 128-bit SSL encryption software. Your access to this page verifies that your browser and encryption software/device meet these requirements.

System Requirements to Retain Information

To retain a copy, you must either have a printer connected to your personal computer or other device or, alternatively, the ability to save a copy through use of printing service or software such as Adobe Acrobat®. If you would like to proceed using paper forms, please contact DIXIE POWER.

Withdrawal of Electronic Acceptance of Disclosures and Notices

You can also contact us to withdraw your consent to receive any future communications electronically, including if the system requirements described above change and you no longer possess the required system. If you withdraw your consent, we will terminate your use of the Western Reporting website and the services provided through Western Reporting website.

To ensure that a signature is unique and to safeguard you against unauthorized use of your name, your IP address (63.234.227.210) has been recorded and will be stored along with your electronic signature. Please note that if you wish to submit your Disclosure and Authorization Forms electronically, Western Reporting requires that you include your social security number or user identification. All of your information will be encrypted and transmitted via our secure website.

I understand that Western Reporting uses computer technology to ensure that my signed documents are not altered after submission. I agree to allow Western Reporting to validate my signed documents in this way.

I consent to transacting electronically, including receiving legally required notices electronically.
Fair Credit Summary of Rights*

I acknowledge receipt of the Summary of Your Rights Under the Fair Credit Reporting Act (FCRA) and certify that I have read and understand this document
Disclosure Regarding Background Investigation*
Background Check Disclosure
As part of your application for employment or continued employment, the Company/Employer named below may obtain information about you from a Consumer Reporting Agency (CRA), also known as a background screening company. As a result, you may be the subject of a “consumer report” or “investigative consumer report,” also known as background reports. These background reports may be obtained at any time after receipt of your authorization and, if you are hired by the Company/Employer, throughout your employment where permitted by law.
The CRA preparing the consumer report is: Simpliverified LLC,1192 East Draper Parkway #221, Draper, Utah 84020, Phone # 855-837-1328, For information about the CRA’s privacy policy, go to: www.simpliverified.com
The consumer report may include information from employer personnel files, educational institutions, government agencies and licensing bureaus, credit bureaus, companies, corporations, and law enforcement agencies at the federal, state or county level relating to your past activities. An investigative consumer report may include information about your character, general reputation, personal characteristics, and/or mode of living which may be obtained through personal interviews with employers and other associates. Credit history will only be obtained where permitted by law and when substantially related to the position you hold or seek.
You have the right, upon written request made within a reasonable period of time after receipt of this notice, to request the nature and substance of any background report prepared about you. You may also request a copy of any report that is prepared about you and “A Summary of Your Rights Under the Fair Credit Reporting Act” (a copy of which is provided with this document). To do so, contact the CRA shown above.

I acknowledge receipt of this Disclosure and certify that I have read and understand this document
Signature
Acknowledgement and Authorization*
I agree to the Acknowledgement and Authorization
Background Check Authorization
I acknowledge receipt of DISCLOSURE REGARDING PREPARATION OF BACKGROUND REPORT and “A Summary of Your Rights Under the Fair Credit Reporting Act.”
By my signature below, I authorize procurement of consumer reports and/or investigative consumer reports by the Company/Employer named below and authorize preparation of such reports by the named CRA. I authorize without reservation law enforcement agencies, academic institutions, data repositories, credit bureaus, courts (federal, state, and local), government agencies and licensing bureaus, information service bureaus, employers, and others having information about me to furnish any and all information about me to the Consumer Reporting Agency when requested. I understand and authorize that these reports may be obtained and prepared any time after receipt of this authorization and during my employment, if hired, unless prohibited by applicable law or I withdraw my authorization in writing.
I agree that a photocopy or facsimile of this authorization, whether signed electronically or handwritten, has the same authority as the original. If employed by the Company/Employer named below, I agree that this authorization will remain in effect throughout my employment unless prohibited by applicable law or I withdraw my authorization in writing.
I authorize Simpliverified to conduct the Background check(s) described above. I acknowledge I may request a hard copy of this Disclosure and Authorization form by calling Simpliverified at 855-837-1328
Signature
ID/SSN (last 4):

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Employment Application

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We're sorry. We are currently only hiring for the position of IT Telecommunications Technician. Please apply for other positions when we have an open job posting for them.

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