Important Background Information
In order to protect all of our agents and the brand reputation we all rely on, please answer the following questions fully and truthfully.
Yes
No
*1. Have you, under your current name or any other name, ever been convicted of a felony or any misdemeanor involving moral turpitude or financial wrongdoing, such as, but not limited to, embezzlement, fraud or any other form of misrepresentation, writing or uttering bad checks, uttering a forged instrument, forgery, receiving stolen property or any type of theft?
If so, please explain all details (e.g., the charge, case number, what court, when, where, the circumstances, the sentence and/or terms of probation, the final disposition, whether you were ordered to make restitution to any victim, etc.)
Yes
No
*2. Are you presently on bail or on your own recognizance with pending criminal charges.
If so, please explain all details.
Yes
No
*3. Have you ever had a civil judgment entered against you involving moral turpitude, such as, but not limited to, conversion, breach of trust, negligence or breach of fiduciary duty?
If so, please explain all details (e.g., the charge, case number, what court, when, where, the circumstances, the sentence and/or terms of probation, the final disposition, whether you were ordered to make restitution to any victim, etc.)
Yes
No
*4. Have you or any business in which you had a controlling interest ever filed a voluntary petition in bankruptcy or has any order for relief been entered against you or any business with which you were associated, or have you or any business in which you had a controlling interest filed any petition or answer seeking any arrangement, reorganization, composition, readjustment or similar relief under any present or future bankruptcy or other applicable law?
If so, please explain all details.
Yes
No
*5. Have you ever sought or consented to or acquiesced in the appointment of any trustee, receiver or liquidator of all or any substantial part of your assets or business?
If so, please explain all details.
Yes
No
*6. Have you ever had any type of fidelity or surety bond cancelled?
If so, please explain all details.
Background Check: InteleTravel may conduct a criminal background check or credit check (for the purposes of determining fiduciary and financial responsibility, NOT for measuring credit scores) to judge if you are suitable to be an independent travel agent affiliated with us. By submitting this application for enrollment, you expressly give your permission to obtain such reports. Upon written request from you, we will provide you a copy of any such report we use to allow or disallow your enrollment.
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By entering my Initials, I represent that I have answered the above questions truthfully and fully and I understand there may be severe penalties for not doing so. I also expressly grant my permission for InteleTravel to conduct the background checks described above as necessary.