BushueBushue Background Screening
P.O. Box 89
Effingham, IL 62401
Phone: 217-342-3042
Fax: 217-342-5653

Illinois State University Background Screening Instructions

In connection with your enrollment with Illinois State University, you have agreed to authorize to a background screen.

To ensure that your rights are protected, this investigation will be conducted by the following Consumer Reporting Agency:

Bushue Background Screening
P.O. Box 89
302 East Jefferson
Effingham, Il 62401

Phone: 217-342-3042

This investigation will be conducted in compliance with federal law, which provides
specific protection to you, as stated in the following document:

Summary of Your Rights Under the Fair Credit Reporting Act (FCRA)
prepared pursuant to 15 U.S.C. Section 1681-1681u.

Click here now to read the above mentioned document.

On the next page, you will be guided through the process of signing an FCRA Compliant DISCLOSURE AND AUTHORIZATION
form authorizing this background investigation by Bushue Background Screening. If you have any questions about the
process or your rights in this matter, please contact Bushue Background Screening at (217) 342-3042 or email

You will be required to make a $36.00 payment. Please have a credit or debit card ready.
To proceed, please complete EVERY field requested below, then click NEXT:

DepartmentChoose a major or select NA
University I.D.
Legal First Name(s)
Legal Middle Name(s)
Legal Last Name(s)
Legal Alias First Name(s)Provide Former/Alias Names (if applicable)
Legal Alias Middle Name(s)Provide Former/Alias Names (if applicable)
Legal Alias Last Name(s)Provide Former/Alias Names (if applicable)
Phone NumberNumbers only or (XXX) XXX-XXXX
Permanent Street Address(Home Residence)
StateFull State Name or Abbreviation
Zip Code
Social Security Number (SSN)999999999 or 999-99-9999 format
Birth Date (DOB)MM/DD/YYYY format
  BHR Basic #1 PLUS Alias (Non-Employment)