*** CONSENT TO PERFORM CRIMINAL HISTORY BACKGROUND CHECK IN COMPLIANCE WITH THE FCRA (FAIR CREDIT REPORTING ACT) ***




 


 
 
 
 


 
 

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*** FULL DISCLOSURE ***

If you have legal (civil or criminal) issues from your past, they should be disclosed. DO NOT rely on your past legal issues being expunged, even if you were told that by the court, lawyers or other persons. It is our experience that records thought to have been expunged or undiscoverable will eventually show up. It is better for you to tell the Board about the infraction(s) than to have them discovered later and it “appear” as an intentional misrepresentation. The information received from this Extended Background Check will be compared to information supplied with your application for accuracy.

The following are my responses to questions about my criminal record history (if any) with descriptions to any question with a YES answer:


 

 

 

 

I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS AUTHORIZATION IS TRUE, CORRECT AND COMPLETE. I UNDERSTAND THAT IF ANY INFORMATION PROVES TO BE INCORRECT OR INCOMPLETE THAT GROUNDS FOR THE CANCELING OF ANY AND ALL OFFERS WILL EXIST AND MAY BE USED AT THE DISCRETION OF THE OKLAHOMA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY.

PLEASE TYPE YOUR FULL NAME


Fees:

Background Check $22.49
Online Processing Fee $3.50
TOTAL: $25.99
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