Free background check form 35Free background check form 35
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Employee Background Check

Note to Hiring Manager: Before making an offer of employment in any position you are
required to have a criminal background check completed on your final candidate. Some
positions require additional screening. The Employment office will contact you as soon as the
background check is complete.
Date: ____/____/______
Hiring Manager Name: ___________________________________________________________
Department: ___________________________________________________________________
Phone: ____________________________________ Cell: _______________________________

Hiring Manager’s Signature: ______________________________________________________
Type of Background Check:
[__] Criminal
[__] Employment
[__] Worker’s Compensation
[__] Motor Vehicle
[__] Credit Check
[__] Education
Applicant Information:
Position Applied For: ____________________________________________________________
Date of Birth: ____/____/______
Last Name: _____________________________________________