DISCLOSURE FOR BACKGROUND CHECK

C3/CustomerContactChannels, Inc. (the “Company”) will procure a consumer report and/or investigative
consumer report on you in connection with your application for employment purposes (including
employment, volunteer, or independent contractor assignments, as applicable) as defined under the Fair
Credit Reporting Act. These background reports may be obtained at any time after receipt of your
authorization and, if you are hired or engaged by the Company, throughout your employment or contract
period.

Sterling Infosystems, Inc., (Sterling Talent Solutions) a consumer reporting agency, will obtain the report
for the Company. Further information regarding Sterling Talent Solutions, including its privacy policy,
may be found online at www. SterlingTalentSolutions.com. Sterling Talent Solutions is located at 4511
Rockside Road, 4th Floor, Independence, OH 44131, and can be reached at (877) 982-9888.

The report may contain information bearing on your character, general reputation, personal
characteristics, mode of living and/or credit standing. The information that may be included in your report
include: social security trace, authorization to work checks, criminal records checks, civil record checks,
financial information and credit checks (Experian U.S. Credit), federal record checks, public court records
checks, driving records checks, drug tests, physical tests, educational records checks, employment history
verification, references checks, sanction, licensing and certification checks. The information contained in
the report will be obtained from private and/or public record sources, including sources identified by you
in your job application or institutions or other acquaintances. You will be provided a copy of this notice
each time the Company runs a report on you. You have the right upon written request made within a
reasonable time after receipt of this notice to request disclosure from the Company of the nature and
scope of the report.

AUTHORIZATION

I have carefully read and understand this disclosure and authorization form and I have received a copy of
the “Summary of Your Rights Under the Fair Credit Reporting Act” provided with this form. I have had
the opportunity to review my rights.

By my signature below, (i) I consent to the preparation of background reports by Sterling Talent Solutions,
and to the release of such reports to the Company and its designated representatives for the purpose of
assisting the Company in making a determination as to my eligibility for employment, promotion,
retention, contract assignment or for other lawful purposes; and (ii) I release the Company, its affiliates
and their respective directors, employee, agents and representatives and from all liability whatsoever in
connection with background reports to be provided by Sterling Talent Solutions, including without
limitation the liability for the accuracy or completeness of such reports and the Company’s use of the
reports in making decisions concerning my employment by the Company.

I understand that, to the extent allowed by law, information contained in my job application or otherwise
disclosed to the Company by me before or during my employment or contract assignment, if any, may be
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utilized for the purpose of obtaining such consumer reports and/or investigative consumer reports about
me. I understand that nothing herein shall be construed as an offer of employment or contract for
services.

I hereby authorize law enforcement agencies, learning institutions (including public and private schools
and universities), information service bureaus, credit bureaus, record/data repositories, courts
(federal/state/local), motor vehicle record agencies, my past or present employers, the military, and other
individuals or sources to furnish any and all information on me that is requested by the consumer
reporting agency.

By my signature (including electronic) below, I certify the information provided on and in connection with
this form is true, accurate, and complete. I agree that this form in original, faxed, photocopied or
electronic form will be valid for any background reports that may be requested by or on behalf of the
Company.

This information is being collected to conduct the background check on you. It will not be used for any
other purpose.

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 A SUMMARY OF YOUR RIGHTS
UNDER THE FAIR CREDIT REPORTING ACT

Para información en español, visite www.consumerfinance.gov/learnmore o escriba a la Consumer

Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20006.

The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information
in the files of consumer reporting agencies. There are many types of consumer reporting agencies,
including credit bureaus and specialty agencies (such as agencies that sell information about check writing
histories, medical records, and rental history records). Here is a summary of your major rights under the
FCRA. For more information, including information about additional rights, go to
www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G
Street N.W., Washington, DC 20006.

• You must be told if information in your file has been used against you. Anyone who uses a credit
report or another type of consumer report to deny your application for credit, insurance, or
employment – or to take another adverse action against you – must tell you, and must give you
the name, address, and phone number of the agency that provided the information.
• You have the right to know what is in your file. You may request and obtain all the information
about you in the files of a consumer reporting agency (your "file disclosure"). You will be required
to provide proper identification, which may include your Social Security number. In many cases,
the disclosure will be free. You are entitled to a free file disclosure if:
o a person has taken adverse action against you because of information in your
credit report;
o you are the victim of identity theft and place a fraud alert in your file; o your file
contains inaccurate information as a result of fraud; o you are on public
assistance; o you are unemployed but expect to apply for employment within 60
days.

In addition, all consumers are entitled to one free disclosure every 12 months upon request from
each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See
www.consumerfinance.gov/learnmore for additional information.

• You have the right to ask for a credit score. Credit scores are numerical summaries of your
creditworthiness based on information from credit bureaus. You may request a credit score from
consumer reporting agencies that create scores or distribute scores used in residential real
property loans, but you will have to pay for it. In some mortgage transactions, you will receive
credit score information for free from the mortgage lender.
• You have the right to dispute incomplete or inaccurate information. If you identify information
in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the
agency must investigate unless your dispute is frivolous. See
www.consumerfinance.gov/learnmore for an explanation of dispute procedures.
• Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable
information. Inaccurate, incomplete or unverifiable information must be removed or corrected,
usually within 30 days. However, a consumer reporting agency may continue to report
information it has verified as accurate.

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 • Consumer reporting agencies may not report outdated negative information. In most cases, a
consumer reporting agency may not report negative information that is more than seven years
old, or bankruptcies that are more than 10 years old.
• Access to your file is limited. A consumer reporting agency may provide information about you
only to people with a valid need -- usually to consider an application with a creditor, insurer,
employer, landlord, or other business. The FCRA specifies those with a valid need for access.
• You must give your consent for reports to be provided to employers. A consumer reporting
agency may not give out information about you to your employer, or a potential employer,
without your written consent given to the employer. Written consent generally is not required in
the trucking industry. For more information, go to www.consumerfinance.gov/learnmore
• You may limit "pre-screened" offers of credit and insurance you get based on information in
your credit report. Unsolicited "pre-screened" offers for credit and insurance must include a
tollfree phone number you can call if you choose to remove your name and address from the lists
these offers are based on. You may opt-out with the nationwide credit bureaus at 1-888-5OPTOUT
(1-888-567-8688).
• You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user
of consumer reports or a furnisher of information to a consumer reporting agency violates the
FCRA, you may be able to sue in state or federal court.
• Identity theft victims and active duty military personnel have additional rights. For more
information, visit www.consumerfinance.gov/learnmore

States may enforce the FCRA, and many states have their own consumer reporting laws.In some
cases, you may have more rights under state law. For more information, contact your state or local
consumer protection agency or your state Attorney General. For information about your federal
rights, contact:
TYPE OF BUSINESS: CONTACT:
a. Bureau of Consumer Financial
1.a. Banks, savings associations, and credit unions with total
Protection 1700 G Street NW
assets of over $10 billion and their affiliates.
Washington, DC 20006
b. Federal Trade Commission:
b. Such affiliates that are not banks, savings associations, or Consumer Response Center – FCRA
credit unions also should list, in addition to the Bureau: Washington, DC 20580
(877) 382-4357
2. To the extent not included in item 1 above:
a. Office of the Comptroller of the
Currency
a. National banks, federal savings associations, and federal
Customer Assistance Group
branches and federal agencies of foreign banks
1301 McKinney Street, Suite 3450
Houston, TX 77010-9050
b. State member banks, branches and agencies of foreign banks
(other than federal branches, federal agencies, and insured state b. Federal Reserve Consumer Help
branches of foreign banks), commercial lending companies Center
owned or controlled by foreign banks, and P.O. Box 1200
organizations operating under section 25 or 25A of the Federal Minneapolis, MN 55480
Reserve Act

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 c. FDIC Consumer Response Center
c. Nonmember Insured Banks, Insured State Branches of Foreign
1100 Walnut Street, Box #11
Banks, and insured state savings associations
Kansas City, MO 64106
d. National Credit Union
Administration
Office of Consumer Protection (OCP)
d. Federal Credit Unions Division of Consumer Compliance and
Outreach (DCCO)
1775 Duke Street
Alexandria, VA 22314
Asst. General Counsel for Aviation
Enforcement & Proceedings
3. Air carriers Department of Transportation
400 Seventh Street SW
Washington, DC 20590
Office of Proceedings, Surface
Transportation Board
4. Creditors Subject to Surface Transportation Board Department of Transportation
1925 K Street NW
Washington, DC 20423
Nearest Packers and Stockyards
5. Creditors Subject to Packers and Stockyards Act
Administration area supervisor
Associate Deputy Administrator for
Capital Access
United States Small Business
6. Small Business Investment Companies
Administration
406 Third Street, SW, 8th Floor
Washington, DC 20416
Securities and Exchange Commission
7. Brokers and Dealers 100 F St NE
Washington, DC 20549
Farm Credit Administration
8. Federal Land Banks, Federal Land Bank Associations, Federal
1501 Farm Credit Drive
Intermediate Credit Banks, and Production Credit Associations
McLean, VA 22102-5090
FTC Regional Office for region in which
the creditor operates or Federal Trade
9. Retailers, Finance Companies, and All Other Creditors Not Commission: Consumer
Listed Above Response Center – FCRA
Washington, DC 20580
(877) 382-4357

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 ADDITIONAL STATE LAW NOTICES

CALIFORNIA: Pursuant to section AB 22 Employers who order credit reports on a California resident,
applicant who will be working in California, or who will be employed by a company in California must
complete the following section.

Under this law employers cannot use a consumer credit report for employment purposes for any
position excluding those listed below. As required in your disclosure to the applicant, please indicate the
specific reason(s) for which an employment credit report is being requested:

This employment position:

Is managerial (as defined by the California Industrial Welfare Commission);
Is in the State Department of Justice;
Is as a peace officer or other law enforcement;
Involves regular access to bank or credit card account info, social security numbers and dates of birth
(this does not include ordinary retail work);
Would make the employee a named signatory on the employer’s bank or credit card account;
Would authorize the employee to transfer money on the employer’s behalf;
Would authorize the employee to enter into financial contracts on the employer’s behalf;
Involves access to confidential or proprietary information that derives independent economic value
from not being generally known and an effort is being made to maintain its secrecy;
Involves regular access to cash of $10,000 or more during the workday that belongs to the employer,
a customer or a client. This doesn’t apply to financial institutions subject to oversight by a state or
federal regulatory agency.

Employers must also indicate whether a free copy of the report has been requested by the
applicant/employee:

Please provide the applicant/employee with a free copy of the report.

California, Minnesota, and Oklahoma applicants or residents: You have a right to request a free copy
of your report if one is ordered on you. Please check this box to receive an emailed copy of your
report. By law, your employer [Insert Company name] is required to provide you a copy of your report,
if requested.

CALIFORNIA: Pursuant to section 1786.22 of the California Civil Code, you may contact TalentWise during
normal business hours (9am to 5pm PST, Monday through Friday) to obtain and review all information in
your file. You may obtain such information by appearing in person at TalentWise’s offices, during normal
business hours and upon reasonable notice, and upon submitting proper identification and paying the
costs duplication services. You may be accompanied by one other person, provided that person furnishes
proper identification. You may also obtain a copy of your file by certified mail, if you have previously
provided identification in a written request that your file be sent to you or a third party identified by you.
You may also obtain a summary of your file by telephone, upon providing proper identification.
TalentWise has trained personnel available to explain your file to you, including any coded information.

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CALIFORNIA (En Español): De acuerdo con el artículo 1786.22 del Código Civil, Usted puede llamar a
TalentWise durante los horarios normales de trabajo (9 de la mañana a 5 de la tarde, tiempo del pacífico,
lunes a viernes) para obtener y examinar su archivo privado en detalle. Para conseguir una copia de su
archivo privado, puede hacer una visita en persona a la oficina de TalentWise durante los horarios
normales de trabajo, dando aviso razonable, presentando identificación apropiada, y pagando los costos
de duplicación. Otra persona puede acompañarle con tal que también traiga identificación apropiada.
Usted puede pedirnos que le mandemos por correo certificado una copia de su archivo privado con tal
que hayamos recibido una solicitud escrita indicando que le mandemos una copia de su archivo privado a
Usted o a un tercero que esté identificado por Usted. También puede pedir por teléfono un resumen de
su archivo privado, al presentarnos identificación apropiada. TalentWise emplea trajabadores
cualificados, quienes están disponibles para explicarle el contenido de su archivo privado, incluyendo
cualquier dato cifrado.

MAINE: You have the right, upon request, to be informed of whether an investigative consumer report
was requested, and if one was requested, the name and address of the consumer reporting agency
furnishing the report. You may request and receive from the Company, within five business days of our
receipt of your request, the name, address, and telephone number of the nearest unit designated to
handle inquiries for the consumer reporting agency issuing an investigative consumer report concerning
you. You also have the right, under Maine law, to request and promptly receive from all such agencies
copies of any such reports.

WASHINGTON: If the Company requests an investigative consumer report, you have the right, upon
written request made within a reasonable period of time after your receipt of this disclosure, to receive
from the Company a complete and accurate disclosure of the nature and scope of the investigation
requested by the Company. You also have the right to request from the consumer reporting agency a
written summary of your rights and remedies under the Washington Fair Credit Reporting Act.

NEW YORK: You have the right, upon request, to be informed of whether an investigative consumer
report was requested, and if one was requested, the name and address of the consumer reporting agency
furnishing the report. At the time you consent to your employer obtaining a report you are entitled to
receive a copy of Article 23-A of New York Correction Law. Do not sign your consent until you receive a
copy of that law.

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 NEW YORK CORRECTION LAW
ARTICLE 23-A
New York Bus Code §380-c(b)(2) and 380-g(d)

§750. Definitions. For the purposes of this article, the following terms shall have the following meanings:
(1) “Public agency” means the state or any local subdivision thereof, or any state or local
department, agency, board or commission.
(2) “Private employer” means any person, company, corporation, labor organization or association
which employs ten or more persons.
(3) “Direct relationship” means that the nature of criminal conduct for which the person was
convicted has a direct bearing on his fitness or ability to perform one or more of the duties or
responsibilities necessarily related to the license, opportunity, or job in question.
(4) “License” means any certificate, license, permit or grant of permission required by the laws of
this state, its political subdivisions or instrumentalities as a condition for the lawful practice of
any occupation, employment, trade, vocation, business, or profession. Provided, however, that
“license” shall not, for the purposes of this article, include any license or permit to own, possess,
carry, or fire any explosive, pistol, handgun, rifle, shotgun, or other firearm.
(5) “Employment” means any occupation, vocation or employment, or any form of vocational or
educational training. Provided, however, that ‘employment” shall not, for the purposes of this
article, include membership in any law enforcement agency.

§751. Applicability. The provisions of this article shall apply to any application by any person for a license
or employment at any public or private employer, who has previously been convicted of one or more
criminal offenses in this state or in any other jurisdiction, and to any license or employment held by any
person whose conviction of one or more criminal offenses in this state or in any other jurisdiction
preceded such employment or granting of a license, except where a mandatory forfeiture, disability or
bar to employment is imposed by law, and has not been removed by an executive pardon, certificate of
relief from disabilities or certificate of good conduct. Nothing in this article shall be construed to affect
any right an employer may have with respect to an intentional misrepresentation in connection with an
application for employment made by a prospective employee or previously made by a current employee.

§752. Unfair discrimination against persons previously convicted of one or more criminal offenses
prohibited. No application for any license or employment, and no employment or license held by an
individual, to which the provisions of this article are applicable, shall be denied or acted upon adversely
by reason of the individuals having been previously convicted of one or more criminal offenses, or by
reason of a finding of lack of ‘good moral character’ when such finding is based upon the fact that the
individual has previously been convicted of one or more criminal offenses, unless:
(1) There is a direct relationship between one or more of the previous criminal offenses and the
specific license or employment sought or held by the individual; or
(2) the issuance or continuation of the license or the granting or continuation of the employment
would involve an unreasonable risk to property or to the safety or welfare of specific individuals
or the general public.
§753. Factors to be considered concerning a previous criminal conviction; presumption.
(1) In making a determination pursuant to section seven hundred fifty—two of this chapter, the
public agency or private employer shall consider the following factors:
(a) The public policy of this state, as expressed in this act, to encourage the licensure and
employment of persons previously convicted of one or more criminal offenses.

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 (b) The specific duties and responsibilities necessarily related to the license or employment
sought or held by the person.
(c) The bearing, if any, the criminal offense or offenses for which the person was previously
convicted will have on his fitness or ability to perform one or more such duties or
responsibilities.
(d) The time which has elapsed since the occurrence of the criminal offense or offenses.
(e) The age of the person at the time of occurrence of the criminal offense or offenses.
(f) The seriousness of the offense or offenses.
(g) Any information produced by the person, or produced on his behalf, in regard to his
rehabilitation and good conduct.
(h) The legitimate interest of the public agency or private employer in protecting property,
and the safety and welfare of specific individuals or the general public.
(2) In making a determination pursuant to section seven hundred fifty—two of this chapter, the
public agency or private employer shall also give consideration to a certificate of relief from
disabilities or a certificate of good conduct issued to the applicant, which certificate shall create a
presumption of rehabilitation in regard to the offense or offenses specified therein.

§754. Written statement upon denial of license or employment. At the request of any person previously
convicted of one or more criminal offenses who has been denied a license or employment, a public agency
or private employer shall provide, within thirty days of a request, a written statement setting forth the
reasons for such denial.

§755. Enforcement.
(1) In relation to actions by public agencies, the provisions of this article shall be enforceable by a
proceeding brought pursuant to article seventy—eight of the civil practice law and rules.
(2) In relation to actions by private employers, the provisions of this article shall be enforceable by
the division of human rights pursuant to the powers and procedures set forth in article fifteen of
the executive law, and, concurrently, by the New York city commission on human rights.

{{Sig_es_:signer1:signature}}

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