{"id":5478,"date":"2018-01-09T13:09:08","date_gmt":"2018-01-09T21:09:08","guid":{"rendered":"https:\/\/tillamookhabitat.org\/?page_id=5478"},"modified":"2018-01-09T13:09:08","modified_gmt":"2018-01-09T21:09:08","slug":"disclosure-and-release","status":"publish","type":"page","link":"https:\/\/tillamookhabitat.org\/disclosure-and-release\/","title":{"rendered":"Disclosure and Release"},"content":{"rendered":"<script type=\"text\/javascript\">if(!gform){document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0});var gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),null==t&&(t=10),gform.hooks[o][n].push({tag:i,callable:r,priority:t})},doHook:function(o,n,r){if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[o][n]){var t,i=gform.hooks[o][n];i.sort(function(o,n){return o.priority-n.priority});for(var e=0;e<i.length;e++)\"function\"!=typeof(t=i[e].callable)&&(t=window[t]),\"action\"==o?t.apply(null,r):r[0]=t.apply(null,r)}if(\"filter\"==o)return r[0]},removeHook:function(o,n,r,t){if(null!=gform.hooks[o][n])for(var i=gform.hooks[o][n],e=i.length-1;0<=e;e--)null!=t&&t!=i[e].tag||null!=r&&r!=i[e].priority||i.splice(e,1)}}}<\/script>\n                <div class='gf_browser_safari gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_26' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">DISCLOSURE AND RELEASE<\/h3>\n                            <span class='gform_description'><\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_26'  action='\/wp-json\/wp\/v2\/pages\/5478' novalidate>\n                        <div class='gform_body gform-body'><ul id='gform_fields_26' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_26_11\" class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><p>\nIn connection with my application for employment, I understand that a background report may be requested at will by (Client).  The investigative consumer report will be requested from Rexus Corporation, a Consumer Reporting Agency. This investigative report may contain information as to my character, general reputation, personal characteristics or mode of living. This report may include such information as: education, verification of current and former employment, driving record, credit, bankruptcy proceedings, criminal records, etc., from federal, state, and other agencies which maintain such records.\n<\/p>\n\n<p>As set forth in the Fair Credit Reporting Act, I have the right to request from (Client), and the report provider, upon proper identification and written request, a copy of the consumer report as well as a written summary of my rights under the Fair Credit Reporting Act.\n<\/p>\n\n<p>\nThe information requested will be used in compliance with the Fair Credit Reporting Act and\/or any other applicable federal or state laws. I authorize any party, institution, school, employer or agency contacted by (Client). or its authorized representatives, to furnish the above-described information.  I release from liability the agents, employers, and all other persons providing information.  I hereby authorize procurement of the background report.\n<p\/><\/li><li id=\"field_26_13\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_26_13' >Applicant Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_26_13' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_26_12\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_26_12' >Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_12' id='input_26_12' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_26_12_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_26_12_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_26_12' class='gform_hidden' value='https:\/\/tillamookhabitat.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_26_5\" class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\" ><h2 class=\"gsection_title\">Applicant: Please complete the following for proper identification purposes<\/h2><\/li><li id=\"field_26_14\" class=\"gfield gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible\" ><label class='gfield_label 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type='text' name='input_14.4' id='input_26_14_4' value='' aria-label='Middle name'   aria-required='false'     \/>\n                                                <\/span>\n                            <span id='input_26_14_6_container' class='name_last' >\n                                                            <label for='input_26_14_6' >Last<\/label>\n                                                            <input type='text' name='input_14.6' id='input_26_14_6' value='' aria-label='Last name'   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_26_3\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_26_3' >Social Security Number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_26_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_26_4\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_26_4' >Date of Birth:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_4' id='input_26_4' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_26_4_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_26_4_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                    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class='gfield_list_cell gfield_list_15_cell1' data-label='Last name used:'><input aria-invalid='false'   aria-label='Last name used:, Row ' data-aria-label-template='Last name used:, Row {0}' type='text' name='input_15[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_15_cell2' data-label='Years name was used:'><input aria-invalid='false'   aria-label='Years name was used:, Row ' data-aria-label-template='Years name was used:, Row {0}' type='text' name='input_15[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 10)' onkeypress='gformAddListItem(this, 10)'><img src='https:\/\/tillamookhabitat.org\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 10)' onkeypress='gformDeleteListItem(this, 10)' style=\"visibility:hidden;\"><img src='https:\/\/tillamookhabitat.org\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_26_17\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >List ALL addresses for past 10 years<\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_17_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_17_col_2' class='gfield_list_col_even' \/><col id='gfield_list_17_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_17_col_4' class='gfield_list_col_even' \/><col id='gfield_list_17_col_5' class='gfield_list_col_odd' \/><col id='gfield_list_17_col_6' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Current Address<\/th><th scope=\"col\">City<\/th><th scope=\"col\">County<\/th><th scope=\"col\">State\/Zip<\/th><th scope=\"col\">How Long?<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_17_cell1' data-label='Current Address'><input aria-invalid='false'   aria-label='Current Address, Row ' data-aria-label-template='Current Address, Row {0}' type='text' name='input_17[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_17_cell2' data-label='City'><input aria-invalid='false'   aria-label='City, Row ' data-aria-label-template='City, Row {0}' type='text' name='input_17[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_17_cell3' data-label='County'><input aria-invalid='false'   aria-label='County, Row ' data-aria-label-template='County, Row {0}' type='text' name='input_17[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_17_cell4' data-label='State\/Zip'><input aria-invalid='false'   aria-label='State\/Zip, Row ' data-aria-label-template='State\/Zip, Row {0}' type='text' name='input_17[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_17_cell5' data-label='How Long?'><input aria-invalid='false'   aria-label='How Long?, Row ' data-aria-label-template='How Long?, Row {0}' type='text' name='input_17[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 20)' onkeypress='gformAddListItem(this, 20)'><img src='https:\/\/tillamookhabitat.org\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 20)' onkeypress='gformDeleteListItem(this, 20)' style=\"visibility:hidden;\"><img src='https:\/\/tillamookhabitat.org\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_26_18\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_26_18' >Drivers License Number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_26_18' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_26_19\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_26_19' >State of Issue:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_26_19' 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<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":19,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"xn-wppe-expiration":[],"xn-wppe-expiration-action":[],"xn-wppe-expiration-prefix":[],"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v18.1 (Yoast SEO v18.2) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Disclosure and Release - Habitat For Humanity of Tillamook<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tillamookhabitat.org\/disclosure-and-release\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Disclosure and Release\" \/>\n<meta property=\"og:url\" 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