Free Essay

Background Pages

In: Social Issues

Submitted By steph
Words 659
Pages 3
UNIVERSAL BACKGROUND SCREENING
Request Form
Date: Name: First Address: City: Date of Birth: Drivers License Number: Other Names Used (Maiden Names, AKA’s, etc): Please list the Zip Code for the address in the county which you have resided in the past (7) years. Limit one zip code per county. State: Social Security Number: State Issued: Zip Code: : Full Middle : Last

1. Zip Code: _____________ 2. Zip Code: _____________ 3. Zip Code: _____________
Combined Disclosure Notice and Authorization Regarding Investigative Consumer Reports I understand that as a condition of my consideration for employment, or as a condition of my continued employment, Dependable Staffing Services may obtain a consumer report and/or investigative consumer report that includes, but is not limited to: employment and education verifications; social security number verification; criminal and civil court records; personal interviews; driving records; and/or any other public records or any other information bearing on my character, general reputation, personal characteristics and trustworthiness. I hereby authorize and consent Dependable Staffing Services and/or its designated agent, to procure such a report. I understand that pursuant to the federal Fair Credit Reporting Act, Dependable Staffing Services will provide me with a copy of any such report if the information contained in such report is, in any way, to be used in making an adverse decision regarding my fitness for employment. I further understand that such report will be made available to me prior to any such adverse decision being made, along with the name and address of the reporting agency that produced the report. Applicant Signature: Date:

UNIVERSAL BACKGROUND SCREENING USE ONLY - APPLICANT DO NOT WRITE BELOW THIS LINE

CUSTOMER #_________INPUT FORM
Please perform the following check marked screens only. √

NCIC / ACIC Warrants and Wants 39 - Month Driving Record

√ √

Arizona Statewide Criminal History check Additional County (Zip’s Listed only) History check

Dependable Staffing Services . 3507 North Central . First Floor . Phoenix Arizona 85012 . 602.264.1444

IMPORTANT PLEASE COMPLETE Background Screening Form Questionnaire and Instructions

1.

Have you ever been convicted of, or have you pleaded guilty or no contest (nolo contendere) to, a felony offense? YES NO (Please check one)

(Answering "yes" will not automatically bar you from employment) If you answered Yes to question one, Please list the City and State the incident(s) was/were prosecuted in on the attached form where it asks for Zip codes you have resided in for the past 7 years. Please do this even if the event took place over Seven years ago. If you answered No to question one, please only list the Zip codes you have resided in for the past 7-years.

2.

3.

Combined Disclosure Notice and Authorization Regarding Investigative Consumer Reports I understand that as a condition of my consideration for employment, or as a condition of my continued employment, Dependable Staffing Services may obtain a consumer report and/or investigative consumer report that includes, but is not limited to: employment and education verifications; social security number verification; criminal and civil court records; personal interviews; driving records; and/or any other public records or any other information bearing on my character, general reputation, personal characteristics and trustworthiness. I hereby authorize and consent Dependable Staffing Services and/or its designated agent, to procure such a report. I understand that pursuant to the federal Fair Credit Reporting Act, Dependable Staffing Services will provide me with a copy of any such report if the information contained in such report is, in any way, to be used in making an adverse decision regarding my fitness for employment. I further understand that such report will be made available to me prior to any such adverse decision being made, along with the name and address of the reporting agency that produced the report.

I acknowledge the above questions to be true to the best of my knowledge and belief.

Applicant Signature:

Date:

Dependable Staffing Services . 3507 North Central . First Floor . Phoenix Arizona 85012 . 602.264.1444

Similar Documents

Free Essay

Keynote for Basics

...Below the menu bar you see the Tool Bar. This would be a good time to experiment with the different slide controls. slideshow tools different views and types of slides tools for objects adding objects and text L-S Workshop Summer 2008 Nancy Errico page 1 More advanced enhancements The Basics of Keynote 4.0.3 6. One of the new features is a format bar. When you click on it you get the most common formatting tools. II. BASIC KEYNOTE TUTORIAL This is a very basic tutorial for a 5 slide presentation. It will include: Title Slide Slide with Bullets Slide with Image Slide with Table Credit slide 1. Title Slide - Type in your desired title. Keynote will select the font which suits your theme. If you want to change your font there are 2 places to look. Click on the large in your tool bar or select Format-Font in the menu bar. Type in your title and pick the font and style. You can change the color of the text or the background color. You can also create a text shadow. 2. Slide two- Create a new slide Select the Masters button and pick the Title & Bullets slide. It starts out with one bullet but each time you hit return you get another place to type a bullet L-S Workshop Summer 2008 Nancy Errico page 2 The Basics of Keynote 4.0.3 3. This is a good time to introduce the Inspector tool. . As you work with different elements within each...

Words: 1732 - Pages: 7

Premium Essay

Hsm270

...Title Page Your title page should include on the first line of the title page flush-left a running head. Begin the running head with the words “Running head” followed by a colon. Then give an abbreviated title of your paper in 50 characters or less in all caps. Note: Remember that the page header will appear on every page of your paper, whereas the running head will only appear on your title page. In the upper half of the title page, type your full title, your byline (name[s]), and affiliation (university, etc.) centered on separate lines. Your title may take up one or two lines as in the example below: You need to include a title page, see above: This website can help you tremendously: http://owl.english.purdue.edu/owl/resource/560/01/ References Owl Purdue (2011). Retrieved March 1, 2011 from http://owl.english.purdue.edu/owl/resource/560/01/ While you did a wonderful job with the title page, it is not APA appropriate and you need to use APA style of writing when formatting your assignments. 4/5/2013 4/5/2013 Microsoft account Laura Harris Microsoft account Laura Harris Program Planning and Evaluation PEACE Domestic Violence Agency Program Planning and Evaluation Plan Program Planning and Evaluation PEACE Domestic Violence Agency Program Planning and Evaluation Plan Program Planning and Evaluation PEACE Domestic Violence Agency Program Planning and Evaluation Plan The overall purpose of this Program Planning and Evaluation paper is to make a comparative...

Words: 1730 - Pages: 7

Free Essay

Test

...The Beginners Guide Table of Contents 03 04 05 06 34 35 What is ProSite? What is Behance? How do ProSite & Behance work together? Get Started in 6 Easy Steps See Live Examples Need More Help? What is ProSite? ProSite is a website builder that allows you to design and fully customize your personal portfolio. Make unlimited customizations without touching a line of code. What is Behance? Behance is the leading creative platform, and is where you will upload your projects. Your work will appear in the Behance galleries, giving you exposure to millions of visitors who come to Behance to discover creative work. How ProSite & Behance Work Together Your Behance projects sync with your ProSite, so you only have to update your work in one place to enjoy all the benefits of Behance’s exposure and to have your own customized personal website. NOTE: Your ProSite can live on your own URL, and it doesn’t contain any Behance branding or ads. Your Behance PorTFoLIo Your ProSITe Get Started in 6 Easy Steps We have created this 6 step guide to help you successfully publish your ProSite. 1 2 3 4 5 6 STEP 1: Select Your Layout There are 4 templates to choose from that act as a starting point for your ProSite. ALL layouts allow you to customize and adjust many elements of the design & layout in order to create a unique and personalized website. noTe: Even after you’ve chosen a layout, you’ll always have the option to experiment with another...

Words: 1198 - Pages: 5

Free Essay

The One

...SKOOKUM Dear Applicant: Thank you for taking the time to fill out our application. We want to provide the best customer service possible. Your application will be reviewed and screened by our Human Resources department. We want to emphasize that only completed applications will be processed; you are welcome to include your resume with the application. Please fill out the entire application. Providing complete and accurate information on your education, work experience, and skills will help identify whether you are a qualified candidate for the position. Please date and sign the application. If not signed, the application is not complete and will not be processed. An incomplete application may disqualify you from being considered for the position. Additionally, you may not apply for “any position” you must specify what open position you are interested in. If you need any further assistance completing your application please contact Skookum Human Resources at any of following locations. Submit Applications to: Human Resources4525 Auto Center Way~PO Box 5359Bremerton, WA 98312cday@skookum.org[->0](360) 475-0756 1-888-343-0220 (360) 475-0757 (fax)| Again, thank you for your interest in Skookum. Good Luck! Skookum SKOOKUM Job Application Your Name: ___Cocheta Sanders__________________________________________Date:___________________ Welcome to Skookum: America’s Premier...

Words: 2917 - Pages: 12

Premium Essay

Business

... | |Street Address/Apt.: | | |City ST ZIP Code: | | |Years Lived at this address: | | If less than 5 years list previous address(s) on back page. | |Home Phone: | | |Cell Phone: | | |E-Mail Address: | | |Confidential Background Check Information | |The information below is required for a criminal background check when working with children. | |Social Security Number: | |Date of Birth: | | |Driver’s License Number: | |State: | |Exp. Date: |...

Words: 593 - Pages: 3

Free Essay

Project 505

...issue with too much responsibility placed on one employee. The accountant serving as the controller and treasurer creates a problem with documentation as you don’t have anyone to verify cash and revenue is accounted for correctly. It’s too easy for one employee to manipulate the books in his favor without a clear segregation of duties. The accountant is leaving checks in his office during the week exposing sensitive information and increasing the risk of theft in the office without securing the checks prior to leaving for the weekend. Access to petty cash is not regulated effectively due to lack of security and poor documentation. There’s a lack of human resource presence in order to complete a competent interview process and extensive background checks on all employees prior to employment. The infrastructure of the company has...

Words: 615 - Pages: 3

Free Essay

Bingo

...PIEDMONT AIRLINES EMPLOYMENT APPLICATION | | |PERSONAL INFORMATION | |LAST NAME FIRST NAME |ALIAS OR NICKNAME |SOCIAL SECURITY NUMBER | |MIDDLE INITIAL | |224-71-6419 | |Boswell William D | | | |RESIDENT ADDRESS CITY STATE |PRIMARY PHONE |ALTERNATE PHONE | |ZIP CODE | | | | |720-271-6464 | | |9601 Alfaree Road Richmond VA 23237 ...

Words: 3232 - Pages: 13

Free Essay

Selecting Employees

...Selecting the right employee is crucial for any organization. Organizations may use two or more techniques for this process. Some of these techniques are, interviews, tests, background check, reference, check and more. Implementing these techniques the right way is extremely important, if not employers may face high rates of employee turnover. Introduction The process of selecting employees is critical, and is something every organization goes thru. This process can be time consuming and cost a lot of money. Therefore, organizations must be careful with their selection. Selecting the right employee will be beneficial to the organization long-term and as a result, the productivity and the overall environment of the workplace will benefit. With employee selection involves many procedures, laws, and regulations that must be followed. During the process of selection, employers should keep in mind that the employees would be a reflection of the company. Thus, when selecting employees, employers must follow proper guidelines and steps so that they will only have to do that once. When this is done, employers can diminish employees that would not work efficiently and effectively. Employers use several of techniques for selection of employment. Some of these techniques are background investigations, interviews, tests, and much more. These techniques are use to make sure that applicant is telling the truth by the information they provided. Interviewing There are many ways to conduct...

Words: 1402 - Pages: 6

Premium Essay

Negotiations Initiative 594

...number 594 concerns revolutionizing existing criminal and public safety background checks by licensed dealers to encompass all firearm sales and transfers by incorporating gun show, private sales, and online sales. With this measure to be voted on the ballot on November 4, 2014, there are some exemptions permitted for family, police (local and federal), military, and those in imminent danger. (Voters' Pamphlet) Cherie and I have put together this planning guide to give us the opportunity to think about the upcoming negotiation we have with Andrew and Ryan regarding the measure 594 and our thoughts. This measure is a topic that is relevant to the regional area as the vote is only a few weeks away. Background checks for gun transfers is being discussed in many forums, around many dinner tables, and the supporters of both sides of the measures are bombarding the voters with commercials, mailings, and phone calls to ensure knowledge of the measure and to sway the voters to their side. Cherie and I are mindful that the better the planning, the better the probabilities of a successful negotiation and thus are taking advantage of this opportunity and time to investigate the many facets to shield the public from unnecessary carnage in an effort to protect our society. 1.  Identifying needs of both parties (6 pts.) Cherie and Shauna (representing the Public) want Initiative measure No. 594 to pass providing background checks for all gun transfers in the State of Washington with a few...

Words: 3510 - Pages: 15

Free Essay

Hr Child Procection

...GOVERNMENT OF THE DISTRICT OF COLUMBIA Child and Family Services Agency CFSA Contractor __________________________ Agency Name Request for a Child Protection Register Check (CPR Check) This form may be used for either 1) an in-person request for a CPR Check (Part IV-A); 2) access to substantiated reports of child maltreatment to chief executive officers (CEO) or directors of day care centers, schools, or any public or private organization working directly with children, for the purposes of making employment decisions (Part IV-B); 3) or a child-placing agency licensed in D.C. for purposes of making placement decisions. (Part V). INSTRUCTIONS: Please PRINT or TYPE, filling in all requested information, and sign in the places marked “Applicant Signature.” Please do not use initials to represent your first or middle name. However, if your first or middle name consists of only an initial, please indicate. A complete street address is required in addition to P.O. Box numbers. All in person applicants are required to present one of the following valid photo identifications: Drivers License, State Identification Card, or Passport. All requests for a CPR check in accordance with Part IV-B shall attach this form, with Part I, II, III and IV-B completed, along with a written request from the CEO or director which clearly articulates the basis for the request. All requests for a CPR check in accordance with Part V shall attach this form, with Part I, II, III and IV-B completed. Note...

Words: 3693 - Pages: 15

Premium Essay

Appleboss

...in Chapter 5 – Evaluating a Single Project and Sections 13.1 through 13.4 in Chapter 13 – The Capital Budgeting Process from the course textbook. Note, as mentioned in class, the error in the definition of “EBIT” on page 552 in Chapter 13 which should read “Earnings Before Interest and Taxes.” Also, in Example 13-3 at the bottom of page 556, leverage, λ, is erroneously called the “debt-equity ratio” whereas it should be called the “debt fraction” or the “debt-to-capital” ratio. 2. Answer Questions 5-12, 5-14, 5-16, 5-17, 5-46, 5-47 and 5-54 found at the end of Chapter 5. Write up your answers, showing all work, neatly and concisely on 8.5 x 11 inch paper. Be sure your name appears at the top of each page and staple multiple pages together. Submit your answers at the beginning of class. Late submittals will not be accepted. All work is to be your own, consistent with the University Honor Council’s Guide to Academic Integrity. 3. Read “Assessing a Company’s Future Financial Health” (HBS 9-911-412) handed out in class and then complete the financial analysis of SciTronics by filling in the blanks on pages 6 through 10. Then complete The Case of the Unidentified Industries on pages 10 and 11. Explain your choices in The Case of the Unidentified Industries in a one-page typed essay and submit it, with the booklet, in class. Be sure to write your name on the cover of the booklet and on the top of the essay. Be prepared to discuss your analysis in class. Everyone is expected to submit...

Words: 340 - Pages: 2

Free Essay

Peoplesoft

...PeopleSoft Training 8.9 to 9.2 The PeopleSoft 9.2 release has been visually enhanced with navigational options that include cascading menus, breadcrumb trail and a “recently used” feature. “My Page” and “My Favorites” have also been updated. This document is geared for HR staff that use “My Page” to research employee information and verify data. This document only outlines the changes you will see when you log into PeopleSoft on or after June 3, 2014. All other menus, functions, and access remain unchanged. (If you are also a Manager, you have access to the “Manage Employees” tab. There is separate training that reviews the changes and enhancements you will see as you work in the new version of PeopleSoft. Here is the link for the recorded training for Managers: PeopleSoft 9.2 Upgrade Training for Managers ) Comparison view of PeopleSoft: PeopleSoft 8.9 | PeopleSoft 9.2Same options are available to you just a different layout and format: | Cascading Main Menu A cascading Main Menu at the top of the screen is an alternate way to quickly navigate to PeopleSoft pages.(You can still use “My Page” if you prefer.)Click the blue right arrow icon that expands as you make selections to allow you to quickly access links that are several layers down in the navigation. | | You can click on a folder icon (such as Job Information) in the cascading menu to view all of the folder contents in the main display...

Words: 620 - Pages: 3

Premium Essay

Aaaa

...launched their new Insights analytics for pages in June 2013. The rollout has replaced the old system gradually from this point, with a more modern-looking platform with more available data. Facebook Insights is a really useful system to understand the more basic elements of your social media analytics requirements. However, if you do want to pull out reams of data purely on your page, Facebook Insights does have its uses. There are six main tabs containing data on your Likes, Reach, Visits, Posts, and People, as well as an Overview tab covering some headline figures. There is also the ability to download extensive spreadsheets containing all of this data broken down by day at a page or post content level. This data is useful, but can be quite time consuming to analyse and comprehend, as well as not having that critical context of comparing it to other pages. If you’re new to Facebook as a business, we’d definitely recommend exploring Insights and seeing what is there for yourself as a first step. Our recommendation would be to not stop there though in your quest to truly understand your performance. FACEBOOK INSIGHTS Facebook Insights covers some of the key metrics mentioned below and contains both public and private metrics; however, it’s one major flaw is that it doesn’t include any real data to compare to on the public metrics, especially in terms of other companies. Insights has a new element where you can compare your page demographics against the Facebook average...

Words: 282 - Pages: 2

Premium Essay

Nt1330 Unit 1 Assignment

...DCS 200 Table of Specifications (TOS) Level: Upper Block - Primary 5 (Standard) Ability Level: Middle to High Ability Duration: 40 minutes The paper consists of two sections: Section A: 6 Multiple Choice Questions (12 marks) Section B: 5 Structured Questions (8 marks) Category Topics Learning Outcomes Questions Total Number of Marks for Topic Weighting MCQ Structured KWU AOKPS KWU AOKPS Life Science Cell Systems Identify the characteristics of a typical plant cell. Q1 [2 m] Q7(a) [1 m] 10 marks 20% - KWU 30% - AOKPS Identify the functions of different cell parts in both animal and plant cells. Q2 [2 m] Compare a typical plant and animal cell. Q3 [2 m] Show an understanding of the different functions in a plant cell. Q7(b)&(c) [3 m] Physical Science Electrical Systems Identify electrical conductors Q4 [2 m] 10 marks 20% - KWU 30% - AOKPS Show an understanding that circuits in series and parallel affect current flow Q5 [2 m] Show an understanding that current can only flow in closed circuits Q6 [2 m] Q8(c) [2 m] Investigate the effect of some variables on the current of a circuit Q8(a) & (b) [2 m] DCS 200 Science Written Test Standard Science (Primary 5) Name: _________________________ ___...

Words: 1591 - Pages: 7

Free Essay

Police Recruitment

...offers to the officers that are currently employed. Just like most jobs the hiring process for the San Antonio Police Department (SAPD) starts with a written application. This application can also be completed online however it must be printed out and turned in to the police department in person. The application consists of basic background information like: full name, date of birth, address, and also past employment history and drug or crime history. Once the applicant has filled out the application and turned it in they will be scheduled to take the written exam. Applicants must pass the written exam with a minimum score of 70 percent. On the same day as the written exam if the applicant passes, the next step is the physical fitness exam. The fitness exam consists of push-ups, sit-ups, running, climbing a five foot wall, and dragging a 180 pound dummy 20 feet. There are minimum standards and according to the "San Antonio Police Department Careers" (2013) website the physical fitness test is a significant struggle for many applicants. Once the physical fitness test has been completed successfully an applicant moves on to the background investigation. The investigation looks at the following things to determine if the applicant is suitable for the department: personal history and character, employment history, military history (if applicable), driving...

Words: 929 - Pages: 4