I hereby authorize the Used Car Dealership to obtain my criminal history record information for purposes of evaluating my suitability for employment or continued employment.

Full Name: Other Names Used (if any): Date of Birth: Current Address: City: State: ZIP Code: Phone Number: Email Address:

Social Security Number (if required): Driver's License Number: State Issued:

By signing below, I acknowledge that I have read and understood this consent form and authorize the investigation of my criminal history record as outlined above.