Please complete this form to apply for employment opportunities with Safety and Security Solutions, LLC. dba
PLE Group's Undercover Division
Please Read Before Agreeing
Notice of investigative Consumer Report
In applying for employment with Safety and Security Solutions, LLC. dba PLE Group, I understand that
Safety and Security Solutions, LLC. dba PLE Group may obtain a consumer report (including a possible
investigative consumer report based on personal interviews) about me from a consumer reporting agency. I
hereby acknowledge receiving disclosure of this fact and I acknowledge that I have executed one or more
authorizations to consumer reporting agencies and certain others (e.g., former employers) to release
information concerning me. The reports may include information as to my character, general reputation,
personal characteristics, and mode of living whichever are applicable. The reports also may include, but
are not not limited to, my credit history, criminal records involving arrests and/or convictions, motor
vehicle and/or driver's license records, drug test results, references and copies of my personnel file
from prior employers. I also understand that I have the right to make a written request within a
reasonable period of time for a complete and accurate disclosure of the nature and source of the
consumer report.
Information from Third Parties
I authorize Safety and Security Solutions, LLC. dba PLE Group to request and receive responses and
information concerning me in addition to the consumer report (including a possible investigative
consumer report based on personal interviews). I understand that such responses and information may be
obtained from sources which include, but are not limited to, personal (e.g., family members, friends,
neighbors, other personal acquaintances), consumer reporting agencies, schools business/professional
organizations/associations, law enforcement authorities, governmental agencies, present and past
employers and branches of military service. I acknowledge that I am authorizing any such third parties
to furnish PLE Group Inc. with responses and information concerning me, and I hereby release PLE Group
Inc. and/or its agents from any and all liability and responsibility arising out of the release,
request, receipt, or use of such responses and information.
Truthfulness of Information Furnished
I certify that the information which I have furnished on this application is true and complete, and I
understand that any misrepresentation will be sufficient cause for my not being employed or for
dismissal if employed. I also understand that employment is subject to satisfactory academic and past
employment record.
Disclosure Regarding Background Information
Safety and Security Solutions, LLC. dba PLE Group (“the Company”) may obtain information about you from a
consumer reporting agency for employment purposes. Thus, you may be the subject of a “consumer report”
and/or an “investigative consumer report” which may include information about your character, general
reputation, personal characteristics, and/or mode of living, and which can involve personal interviews
with sources such as your neighbors, friends or associates. These reports may contain information
regarding your criminal history, credit history, motor vehicle records (“driving records”), verification
of your education or employment history or other background checks. You have the right, upon written
request made within a reasonable time after receipt of this notice, to request disclosure of the nature
and scope of any investigative consumer report. Please be advised that the nature and scope of the most
common form of investigative consumer report obtained with regard to applicants for employment is an
investigation into your education and/or employment history conducted by PLE Group (PLE), PO Box 751116,
Dayton, Ohio 45475; 800-288-2949, or another outside organization. You should carefully consider whether
to exercise your right to request disclosure of the nature and scope of any investigative consumer
report.
Agreement
By submitting this application, I agree that if hired I will conform to the rules and policies of the
company, and understand that my employment and compensation will be for an indefinite period of time,
and may be terminated with or without cause and with or without notice at any time, at the option of
either the company or myself. I understand that no supervisor or representative of the company, other
than the president, has the authority to enter into any agreement of employment for any specified period
of time, or to make any employment guarantees.
Authorization to Release Information and Records
I hereby authorize the following organizations, individuals, and entities to furnish PLE Group Inc. or
its agents with any and all available information and copies of records/transcripts pertaining to me, my
activities, and/or status for the purpose of possible employment with Safety and Security Solutions,
LLC. dba PLE Group:
- Present and past employers
- Schools, colleges, universities, or other institutions of learning
- Law enforcement agencies and custodians of court records
- Custodians of state records
- Branches of military service
- Credit bureaus of financial reporting institutions
- Individuals who serve as references
I understand and voluntarily agree that I may be requested by the company to take a urinalysis drug
screen test at any time as a condition of initial or continued employment, and that failure to take such
a test or unsatisfactory test results may result in my dismissal, as applicable by state law.
If hired, I understand I will be required to serve a ninety-day probationary period. This form of
authorization shall be considered as effective and valid as the original. I hereby hold harmless form
liability Safety and Security Solutions, LLC. dba PLE Group and any other person(s) or agency and their
employees and agents who may provide or discuss pertinent information in conjunction with the background
investigation.