INSTRUCTIONS

FOR OBTAINING BACKGROUND CHECK

1. Fill out completely and sign the attached consent form.

2. Make a copy of Georgia Drivers License, Georgia State issued I.D. Card or
passport and send with consent form.

3. Get a $18.00 money order and make payable to Norred & Associates.

4. Mail the items listed above - consent, money order and copy of ID to:

Norred and Associates

Attn: BACKGROUND DEPARTMENT
P.O. Box 82352
Atlanta, GA 30354

Be sure to print information legibly on the consent form in order for us to process the
background check.

NATIONWIDE BACKGROUND FOR $18.00 INCLUDE:

Nationwide Database Search

Georgia Criminal search from Georgia Crime Information Center
Nationwide Sex Offender Registry Search
Fugitive Information Nationwide (Wants and warrants that are
extraditable)
 SCHOLARS IN ACTION

CONSUMER AUTHORIZATION

e-mail is mporter@norred.com
To Whom It May Concern:

I hereby authorize Norred and Associates to request any present or former employer,
school, police department, financial institution, drug screening facility or other persons
having personal knowledge about me, to furnish bearer with any and all information,
including but not limited to criminal and driving history, in their possession regarding me
in connection with an application for employment. I am willing that a photocopy of this
authorization be accepted with the same authority as the original, and I specifically waive
any written notice from any present or former employer who may provide information
based upon this authorization request. I understand this authorization is to be part of the
written application that I sign.
This form serves as written notification that a Consumer report or Investigation Consumer
Report will be requested and used for the purpose of evaluating me for employment,
volunteer or associate in any manner or for promotion, reassignment, or retention as an
employee or volunteer.

Name (please print)________________________________________________________

Signature________________________________________________________________

Date_______________________________Phone Number________________________

Address_________________________________________________________________

City, state and zip code____________________________________________________

Sex (optional-will be used for identification purposes only)_________________________

Race (optional-will be used for criminal history only)______________________________

Date of Birth( necessary-will be used for identification only)___________________________

Social Security Number(necessary-will be used for identification only)__________________

Drivers License Number________________________ State of Issue _________________

Print all former names used (1)_____________________________________________

(2)______________________________________(3)_____________________________

List-All former addresses for the past 7 years