O
RAL ROBERTS UNIVERSITY
Background Check for Volunteers
O
ral Roberts University conducts annual and periodic background checks on all volunteers. The purpose of this
background check is to determine whether there is any adverse information that would preclude an individual from
participating in any ORU sponsored trips or programs. All background checks are conducted, reviewed and evaluated by
the Risk Management Department of Oral Roberts University. Volunteer status may be terminated by ORU at any time.
V
olunteer Authorization
I
authorize Oral Roberts University (ORU), ACCUFAX Div., Southvest Inc. (“ACCUFAX”), and their agents, to solicit,
receive and evaluate background information relative to my criminal record history, motor vehicle records, personal
references and other public record reports pertaining to me. I authorize, without any reservation, any person, agency or
other entity contacted by ORU, ACCUFAX or their agents to furnish the above described information for the purpose of
the background check. I authorize the background check to be conducted on an annual or periodic basis and understand
that this Authorization will remain in full force and effect until revoked by me in writing delivered to ORU.
By signing below, I hereby release ORU, ACCUFAX, their agents and employees and all persons, agencies and entities
providing information or reports about me from any and all claims, damages or liability arising out of or relating to
furnishing, receiving and/or acting in reliance of any such information or reports. I acknowledge that I have received the
Notice for Background Checks including a Summary of Rights under the Fair Credit Reporting Act and have read and
fully understand the Notice and this Authorization. You may have additional rights under state laws. You may contact a
state or local consumer protection agency or a state attorney general to learn about those rights. To request a copy of the
background check contact ACCUFAX at 1(800) 256-8898. Accufax will send an email to your email address below
requesting you to login to their secure website and provide them with additional information. Please complete this
process promptly.
PLEASE PRINT INFORMATION BELOW Requested by Risk Mgt. (918) 495-7905
FULL LEGAL NAME
First__________________________________Middle______________________Last____________________________
OTHER NAMES USED______________________________________________________________________________
Contact Phone # (_____) ________________________________ Cell # ( _____ )_____________________________
Email address: _________________________________________________________________
SIGNATURE ________________________________________________________ DATE _______________
Please submit signed application to Jim Ginther, ORU Risk Management Dept.
email: riskmanagement@oru.edu
A SUMMARY OF YOUR RIGHTS
UNDER THE FAIR CREDIT REPORTING ACT
The Federal Fair Credit Reporting Act (FCRA) is designed to promote accuracy, fairness and privacy of information in the files of every
“consumer reporting agency” (CRA). Most CRA’s are credit bureaus that gather and sell information about you such as if you pay
your bills on time or have filed bankruptcy to creditors, employers, landlords and other businesses. You can find the complete text of
the FCRA, 15 U.S.C. 1681-1681u, at the Consumer Financial Protection Bureau’s (CFPB) web site (
http://www.ftc.gov). The FCRA
gives you specific rights, as outlined below. You may have additional rights under state law. You may contact a state or local
consumer protection agency or a state attorney general to learn about those rights.
You must be told if information in your file has been used against you. Anyone who uses information from a CRA to
take action against you such as denying an application for credit, insurance or employment must tell you, and give you the
name, address, and phone number of the CRA that provided the consumer report.
You can find out what is in your file. At your request, a CRA must give you the information in your file, and a list of
everyone who has requested it recently. There is no charge for the report if a person has taken action against you
because of information supplied by the CRA, provided that you request the report within 60 days of receiving notice of the
action. You also are entitled to one free report every twelve months upon request if you certify that (1) you are unemployed
and plan to seek employment within 60 days, (2) you are on welfare, or (3) your report is inaccurate due to fraud. Otherwise,
a CRA may charge you up to eight dollars.
You can dispute inaccurate information with the CRA. If you tell a CRA that your file contains inaccurate information, the
CRA must investigate the items (usually within 30 days) by presenting to its information source all relevant evidence you
submit, unless your dispute is frivolous. The source must review your evidence and report its findings to the CRA. (The
source also must advise national CRA’s to which it has provided the data of any errors) The CRA must give you a written
report of the investigation, and a copy of your report if the investigation results in any change. If the CRA’s investigation does
not resolve the dispute, you may add a brief statement to your file. The CRA must normally include a summary of your
statement in future reports. If an item is deleted or a dispute statement is filed, you may ask that anyone who has recently
received your report be notified of the change.
Inaccurate information must be corrected or deleted. A CRA must remove or correct inaccurate or unverified information
from its files, usually within 30 days after you dispute it. However, the CRA is not required to remove accurate data from your
file unless it is outdated (as described below) or cannot be verified. If your dispute results in any change to your report, the
CRA cannot reinsert into your file a disputed item unless the information source verifies its accuracy and completeness. In
addition, the CRA must give you a written notice telling you it has reinserted the item. The notice must include the name,
address and phone number of the information source.
You can dispute inaccurate items with the source of the information. If you tell anyone such as a creditor who reports
to a CRA that you dispute an item, they may not then report the information to a CRA without including a notice of your
dispute. In addition, once you’ve notified the source of the error in writing, it may not continue to report the information if it is
in fact, an error.
Outdated information may not be reported. In most cases, a CRA may not report negative information that is more than
seven years old; ten years for bankruptcies.
Access to your file is limited. A CRA may provide information about you only to people with a need recognized by the FCRA
usually to consider an application with a creditor, insurer, employer, landlord or other business.
Your consent is required for reports that are provided to employers, or reports that contain medical information. A
CRA may not give out information about you to your employer, or prospective employer, without your written consent. A CRA
may not report medical information about you to creditors, insurers, or employers without your permission.
You may choose to exclude your name from CRA lists for unsolicited credit and insurance offers. Creditors and
insurers may use file information as the basis for sending you unsolicited offers of credit or insurance. Such offers must
include a toll-free phone number for you to call if you want your name and address removed from future lists. If you call, you
must be kept off the lists for two years. If you request, complete, and return the CRA form provided for this purpose, you must
be taken off the lists indefinitely.
You may seek damages from violators. If a CRA, a user or (in some cases) a provider of CRA data, violates the FCRA,
you may sue them in state or federal court.
A SUMMARY OF YOUR RIGHTS
UNDER THE FAIR CREDIT REPORTING ACT
The FCRA gives several different federal agencies (listed below) authority to enforce the FCRA:
FOR QUESTIONS OR CONCERNS PLEASE CONTACT:
REGARDING:
CRA’s creditors and others not listed below Consumer Financial Protection Bureau
Consumer Response Center CFPB Washington,
DC 20580
202-326-3761
National banks federal branches/agencies of Office of the Comptroller of the Currency
foreign banks (word “National” or initials “N.A.” Compliance Management, MailStop 6-6
appear in or after bank’s name) Washington, D.C. 20219
800-613-6743
Savings associations and federally charted Office of Thrift Supervision
savings banks (word “federal” or initials “F.S.B.” Consumer Programs
appear in federal intuition’s name) Washington, D.C. 20552
800-842-6929
Federal Reserve system member banks (except Federal Reserve Board
national banks, and federal branches/agencies Division of Consumer & Community Affairs
of foreign banks) Washington, D.C. 20551
202-452-3693
Federal Credit Unions (words “Federal Credit National Credit Union Administration
Union” appear in intuition’s name) 1775 Duke Street
Alexandria, VA 22314
703-518-6360
State chartered banks that are not a member of the Federal Deposit Insurance Corporation
Federal Reserve System Division of Compliance & Consumer Affairs
Washington, D.C. 20429
800-934-FDIC
Air-surface, or rail common carriers regulated by Department of Transportation
former Civil Aeronautics Board or Interstate Office of Financial Management
Commerce Commission Washington, D.C. 20590
Activities subject to the Packers and Stockyards Department of Agriculture
Act, 1921 Office of Deputy Administrator GIPSA
Washington, D.C. 20250
202-720-7051