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: |  | 
| School/Institution: |  | 
| Degree/Certificate: |  | 
References
- Name:                                                       - Company:                                              
- Position:                                                 
- Phone Number:                                     
 
- Name:                                                       - Company:                                              
- Position:                                                 
- Phone Number:                                     
 
- 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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