To complete this form, please provide the requested information in the respective fields. Ensure all details are accurate and up-to-date to expedite the background check process. Remember to sign and include the date in the consent section authorizing us to conduct a background check.
Item | Details |
---|---|
Full Name: | |
Date of Birth: | |
Social Security Number: | |
Address: | |
Street: | |
City: | |
State: | |
Zip Code: | |
Phone Number: | |
Email Address: |
Company Name | Dates of Employment | Positions Held | Responsibilities |
---|---|---|---|
Item | Details |
---|---|
Highest Level of Education: |
|
School/Institution: | |
Degree/Certificate: |
Name:
Company:
Position:
Phone Number:
Name:
Company:
Position:
Phone Number:
Name:
Company:
Position:
Phone Number:
I hereby authorize the company to conduct a background check, including but not limited to criminal history and drug screening, as part of the hiring process.
Date: [Month Day, Year]
Your privacy is important to us, and we want to assure you that all information provided will be treated with strict confidentiality and used solely for employment-related purposes. If you have any issues or concerns, please contact us at [Your Company Email] or [Your Company Number].
Templates
Templates