Attachment_J-2_Credit_Release_Form.pdf
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- Solicitation number
- 9594CS24Q0015
About this file
This document is an Attachment J-2 Credit Release Form from the Court Services and Offender Supervision Agency (CSOSA). It is a release form that authorizes CSOSA to obtain consumer/credit reports about an individual in connection with their application for employment or during the course of their employment with CSOSA. The form requires the individual's signature, date, and social security number.
The related federal contract opportunity is a Request for Quote (RFQ) from CSOSA for a Vocational & Life Skills Training (Music Industry Course) to be conducted at various CSOSA locations within the Washington D.C. area. The Music Industry Course shall introduce students to skills relevant to music creation, recording, performing, and production. The course shall consist of 9 classes of up to 20 students each, with 17 group sessions of no less than 2 hours per session, delivered once per week for 17 consecutive weeks. The resultant contract is anticipated to be a total of five years (one-year base period plus 4 one-year option periods). The RFQ will be advertised as a total Small Business set-aside under NAICS code 611699, All Other Miscellaneous Schools and Instruction.
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Text version
Court Services and Offender Supervision Agency for the District of Columbia
MEMORANDUM
This is a release for the Court Services and Offender Supervision Agency to obtain one or more consumer/credit reports about you in connection with your application for employment or in the course of your employment with the Court Services and Offender Supervision Agency. One or more reports about you may be obtained for employment purposes, including evaluating your fitness for employment, promotion, reassignment, retention, or access to classified information.
I,______________________________________, hereby authorize the Court Services and
Offender Supervision Agency to obtain such report(s) from any consumer/credit reporting agency for employment purposes.
Signature
Date
Social Security Number
CSOSA-SEC-0008 Revision: 11/2002
Attachment J-2 SEC 0008 Credit Release Form
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