Cleaning Services Employee Background Check Form

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.

Personal Information

Item	Details
Full Name:
Date of Birth:
Social Security Number:
Address:
Street:
City:
State:
Zip Code:
Phone Number:
Email Address:

Employment History

Company Name	Dates of Employment	Positions Held	Responsibilities

Education

Item	Details
Highest Level of Education:	High School Diploma Associate's Degree Bachelor's Degree Master's Degree Ph.D.
School/Institution:
Degree/Certificate:

References

1. Name:                                                   

   • Company:                                          

   • Position:                                             

   • Phone Number:                                 

2. Name:                                                   

   • Company:                                          

   • Position:                                             

   • Phone Number:                                 

3. Name:                                                   

   • Company:                                          

   • Position:                                             

   • Phone Number:                                 

Consent for Background Check

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].

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