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EMS PROGRAM STUDENT BACKGROUND CHECK

In order to be considered for entry into Trans-Care's EMS Training Institute, I give my permission for Trans- Care to obtain access to request and obtain a criminal background check. I understand that if the information obtained from this report is not acceptable to Trans-Care, or any other contracting entities, that Trans-Care retains the right to rescind any offer of admission into the educational institution, or that if at any time during the program a criminal background check reveals dismissible criminal convictions, I understand that I shall be removed from the program. If a background check deems me ineligible to participate in a Trans-Care EMS Training Program, I understand that any fees/deposits that I have submitted (minus the cost of the background check) as part of the registration process will be refunded to me within fourteen (14) business days. My typed signature below carries the same legal authorization as my signature.
By entering my name in the above box, I give consent for Trans-Care to obtain a certified criminal background check on me. My typed name carries the same legal authorization as a signature would.

Thank you for your submission.

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