JOIN SERT

Spirit Encounters Research Team

(SERT PARANORMAL)

Investigator Background Permission Form

P.O. Box 4642

Chicopee, Massachusetts

(413)331-2282

All information gathered about an investigator is private and confidential to public eyes. The information gathered below can and will be turned over to authorities should there be a case/need arise where it will/can be useful to any local, state, or federal agency. ____ initials

Name________________________________________ Birth Date______________________

^{Last Name
First Name
M.I.}

Address__________________________________________________ State______Zip_______

Have you ever been convicted of any crime peratining to theft or charged with anything above a misdemeaner Class A?

If yes explain __________________________________________________________________

Have you ever served in the Armed Forces? If yes, which branch? Finished or Discharged?

___________________________________________________ finished / discharged

What is/was your previous employment for the past 5 years?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Would you allow SERT PARANORMAL to contact any previous employer for work history or contact a state/local agency to do a comprehensive background check? Yes or No?

If no explain ___________________________________________________________________

Do you take any medication (legal) that would effect you in anyway of performing job assignments while on an investigation with SERT PARANORMAL? Yes or No?

If yes explain ___________________________________________________________________

Do you or have take(n) and illegal drugs over the past year? Yes or No?

If yes explain ___________________________________________________________________

Personal Characteristics:

Rate your answer 1 to 5. (1 being Not at All, 5 being Definitely)

circle the number most accurate

Are you trustworthy? 1 2 3 4 5

Are you honest when/if you are in error? 1 2 3 4 5

Could you trusted to be ready at any given moment? 1 2 3 4 5

Are you able to cope or adapt to situations? 1 2 3 4 5

Are you capable of taking orders? 1 2 3 4 5 Are you capable of working within a group? 1 2 3 4 5

Are you capable of working alone? 1 2 3 4 5

Do you consider yourself able to be a part of the team? 1 2 3 4 5

Are you one to assign blame? 1 2 3 4 5

Are you one to accept blame? 1 2 3 4 5

Are you capable of following a directional course? 1 2 3 4 5

Are you legal to live in the states? 1 2 3 4 5

Do you get along well with others? 1 2 3 4 5

Other than minor violations, have you ever considered

being part of a crime? 1 2 3 4 5

Are you able to adequately report facts? 1 2 3 4 5

Are you patient? 1 2 3 4 5

Can you point out errors in others work? 1 2 3 4 5

If you saw a crime (even minor) would you report it? 1 2 3 4 5

Would you try to stop it? 1 2 3 4 5

Please list any special training or skils you have received that may be helpful to PGR-IN during an investigation?

List any other information that you would like SERT PARANORMAL to know up front peratining to your past or present lifestyle/living conditions that could have an impact on your membership in SERT PARANORMAL.

I hereby understand my involvement with SERT PARANORMAL is a volunteer (at my own risk) position. Should I become injured during an investigation, SERT PARANORMAL will make every effort to provide assistance in helping to arrange transportation to a medical facility if needed, but is in no way responsible for any cost. The responsibility for all cost due to injury, fatige, or equipment repair is solely the responsbility of the individual. This includes but is not limited to: physical/mental injury, equipment damage, property damage, or any other cost that may be needed during the course of an investigation that I am involved with.____initals

I__________________________________state that the provided information is acurate. I realize that this information will be checked upon before my instatement into the SERT PARANORMAL group. I realize that this information may be used in conjunction with current events and living conditions to ascertain my acceptance or dismisal from SERT PARANORMAL. I hereby grant SERT PARANORMAL to study the information above including but not limited to a federal/local background check, drug test, or other agency background check that is considered legal by local, state, and federal law, but that SERT PARANORMAL does so at their own expense and I will not be charged or held liable for any cost pertaining to the background.

If accepted into the SERT PARANORMAL group, I understand that I am not allowed to talk about any pending or previous case information unless I have been granted permission to do so ahead of time. I also realize that while I am affiliated with SERT PARANORMAL I am not allowed to associate myself with SERT PARANORMAL in anything that would degrate the representation of SERT PARANORMAL, including: private investgations, charging for investigations, unauthorized use of equipment, facilities, or property of SERT PARANORMAL, unathorized contact of cliental or previous members or anything that would go against the policies and proceedures of the SERT PARANORMAL group, which is subject to change. I must adhere to all rules, practices, policies, proceedures, and instructions of SERT PARANORMAL.

Print Name________________________ Date______________________

Signature__________________________

Witness___________________________ Date______________________