Independent Contract Agreement BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORMIn the interest of maintaining the safety and security of our customers, employees and property, LeCruz, LLC. (the “Company”) will order a “consumer report” (a background report) or “investigative consumer report" on you in connection with your employment application, and if you are hired, or if you already work for the Company, may order additional background reports on you for employment purposes. The background report may contain information concerning your character, general reputation, personal characteristics, mode of living, and credit standing. The types of information that may be ordered include but are not limited to: Social Security number verification; criminal, public, educational and, as appropriate, driving records checks; verification of prior employment; reference, licensing and certification checks; credit reports; drug testing results; and, if applicable, worker’s compensation injuries. Workers’ compensation information will only be requested in compliance with federal Americans with Disabilities Act and/or any other applicable federal, state or local laws and only after a conditional job offer is made. Credit history will only be requested when permitted by law and where such information is substantially related to the duties and responsibilities of the position for which you are applying. The information may be obtained from private and public record sources, including personal interviews with your associates, friends, and neighbors. (An “investigative consumer report” is a background report that includes information from such personal interviews, except in California where that term means any background report that is not a credit report.) The nature and scope of the most common form of investigative consumer report is an investigation into your education and/or employment history conducted by the Background Check Company or another outside organization. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.I am over 18 years of age *YesNoParent / Legal Guardian's Information *FirstLastAs a parent or legal guardian of applicant, you grant applicant permission to complete this background form. You also grant GrabNGo Brands permission to conduct a background check on the applicant. *YesNoName *FirstLastCurrent AddressPrevious Address *Drivers License Number (If Applicable)Please provide your driver's license number if you are being considered for a position in the logistics department.Email *Primary Contact Number *Date of Birth (MM/DD/YY) *SSN or Gov’t ID *Emergency Contact Name *Emergency Contact Number *If you have any comments, please provide here (Optional)I have read and fully understand the context of the following documents, and agreed to pursue this position with LeCruz, LLC either as a Consultant or an employee. By signing my name to this document, I acknowledge that I have read and understand the content of said documents:Independent Contractor AgreementLeCruz, LLC Non-Disclosure AgreementWork HoursThese documents are available in contractor or Employee's portal. If you have not read these documents, please do not select and content to this agreement. You may access our portal at www.doiie.goprojectflow.com. Enter your email and password to gain access.Please Read and Sign Your Name Here (Format: /First Name Last Name/ *After carefully reading this Background Check Disclosure and Authorization form, I authorize the Company to order my background report, including investigative consumer reports. I understand that the Company may rely on this authorization to order additional background reports, including investigative consumer reports, during my employment without asking me for my authorization again as allowed by law. Submit