Background Check

  • Background Check Disclosure and Authorization Form

    In the interest of maintaining the safety and security of our customers, employees and property, Rosen Hotel & Resorts (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 check company, ADP Screening and Selection Services, will prepare the background report for the Company. ADP Screening and Selection Services is located at 301 Remington Street, Fort Collins, CO 80524, and can be reached by phone at 800-367-5933 or at their internet web site address www.adpselect.com.

    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 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 ADP Screening and Selection Services or other outside organization.

    You may request more information about the nature and scope of an investigative consumer report, if any, by telephoning the Company at 407-996-1706. A summary of your rights under the Fair Credit Reporting Act is also being provided to you with this form.

    The Fair Credit Reporting Act gives you specific rights in dealing with consumer reporting agencies. You will find these rights summarized on A Summary of Your Rights under the Fair Credit Reporting Act and A summary of Your Rights under the Provisions of California Civil Code Section 1786.22 as provided here. 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.

    I also authorize the following agencies and entities to disclose to ADP Screening and Selection Services and its agents all information about or concerning me, including but not limited to: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies; federal, state and local courts; the military; credit bureaus; testing facilities; motor vehicle records agencies; if applicable, workers compensation injuries; all other private and public sector repositories of information; and any other person, organization, or agency with any information about or concerning me. Worker’s 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. The information that can be disclosed to ADP Screening and Selection Services and its agents includes, but is not limited to information concerning my employment history, earnings history, education, credit history, motor vehicle history, military service, professional credentials and licenses and substance abuse testing.

    I agree the Company may rely on this authorization to order background reports,

    The information requested below is collected solely for the purpose of aiding the Company in running a background check in connection with your application for employment. The employer is requesting that you provide this information to assist in conducting a thorough background check.
  • Please print your full name
  • A CONVICTION RECORD WILL NOT NECESSARILY DISQUALIFY AN APPLICANT FROM EMPLOYMENT

    I understand that any misrepresentations or omission of fact on this form or any employment document will be sufficient cause for cancellation of this application and/or for my termination from employment with Rosen Hotels & Resorts®

    Electronic Signature

    I acknowledge that the information contained within this document will be used for the purpose of electronic storage and processing of my employment application and background check.

    I understand and consent that by typing in my full name and checking the “I Agree” box below, this will serve as my electronic/digital signature and will be binding as my actual signature.
  • Date Format: MM slash DD slash YYYY


  • Rosen Hotels & Resorts® is an Equal Opportunity Employer and a company that values diversity. The information below will be used only in compilation of data for reporting purposes as required by law. Completion of this data is voluntary and will remain confidential within the Human Resources Department.