CONSENT FOR CRIMINAL

BACKGROUND INVESTIGATION

I, ___________________________________________________________,

HEREBY CONSENT TO A CRIMINAL BACKGROUND INVESTIGATION TO BE CONDUCTED BY PRATT COUNTY FOR THE PURPOSE OF POTENTIAL EMPLOYMENT.

DRIVER’S LICENSE NO. ______________________________________

(Please include copy of Driver’s License)

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DATE SIGNATURE

THIS FORM MUST BE RETURNED WITH APPLICATION.

PRATT COUNTY DRUG TESTING POLICY

I, ___________________________________________________________,

DO HEREBY CONSENT AND ACKNOWLEDGE THAT IF SELECTED FOR EMPLYMENT BY PRATT COUNTY, THAT I WILL SUBMIT TO AND SUCCESSFULLY PASS A DRUG SCREENING TEST PRIOR TO FINAL HIRING.

______________________ ____________________________________

DATE SIGNATURE

THIS FORM MUST BE RETURNED WITH APPLICATION.