Consumer Disclosure

We (Upstream International LLC) will obtain one or more consumer reports or investigative consumer reports (or both) about you for employment purposes. These purposes may include hiring, contract, assignment, promotion, re-assignment, and termination. The reports will include information about your character, general reputation, personal characteristics, and mode of living.

We will obtain these reports through a consumer reporting agency Our consumer reporfing agency is General Information Services. GlS’s address is PO. Box 353, Chapin, SC 29036. GIS's telephone number is (866) 265-4917. GIS's website is at www.geninfo.com, where you can find information about GIS’s international privacy practices.

To prepare the reports, GlS may investigate your education, work history, professional licenses and credentials, references, adiress history, social security number validity, right to work, criminal record, lawsuits, driving record, credit history, and any other information with public or private information sources.

You may obtain a copy of any report that GlS provides and GIS's files about you (in person, by mail or by phone) by providing identification to GlS. If you (1), GIS will provide you help to understand the files, including trained personnel and an explanation of any codes. Another person may accompany you by providing identification.

If GIS obtains any information by interview, you have the right to obtain a complete and accurate disclosure of the scope and nature of the investigation performed.

Please sign below to acknowledge your receipt of this disclosure.

Consumer Authorization

Authorization : By signing below, you authorize: (a) General Information Services ("GIS") to request information about you from any public or private information source; (b) anyone to provide information about you to GIS; (c) GIS to provide us (Upstream International,LLC) one or more reports based on that information; and [d] us to share those reports with others for legitimate business purposes related to your employment. GIS may investigate your education, work history, professional licenses and credentials, references, address history, social security number validity, right to work, criminal record, lawsuits, driving record, credit history, and any other information with public or private information sources. You acknowledge that a fax, image, or copy of this authorization is as valid as the original You make this authorization to be valid for as long as you are an applicant or employee with us.

The Consumer Financial Protection Bureau's "Summary of Your Rights under the Fair Credit Reporting Act" is attached to this authorization. If you are a New York applicant, a copy of New York's law on the use of criminal records is attached By signing below, you acknowledge receipt of these documents.

Personal Information : Please print the information requested below to identify yourself for GIS.

Printed Name

Current and former addresses :

Current Address

Former Address 1

Former Address 2

Some government agencies and other information sources require the following information when checking for records. GIS will not use it for any other purposes.

Report Copy : If you are applying for a job or live in California, Minnesota, or Oklahoma, you may request a copy of the report by checking this box: