UW–Parkside HOME 262-595-2204 E–mail Human Resources
The University of Wisconsin-Parkside, under the direction of the UW System policy, conducts criminal background checks for all new hired individuals. An individual's arrest on a pending charge and/or conviction of a violation of the law may be a factor in evaluating potential job performance. An actual check of pending charge and/or conviction records will be conducted only on the finalist for the position.
By completing this form, the hiring department is requesting the Human Resources Office begin the Criminal Background Check process.
NEW HIRE NOTIFICATION
Staff Type :*
Unclassified Classified LTE Student
For Unclassified Positions, please select the most appropriate statement::*
An offer is being made to this applicant (HR to proceed with Criminal Background Check)
Applicant is one of a group of final candidates (HR to request applicant consent for Criminal Background Check. Background check to be completed if applicant is offered the job)
The applicant is not applying for an Unclassified position, so this statement is not relevant.
Position Applied for:*
Today's Date:*
Applicant's Last Name:*
Applicant's First Name:*
Applicant's Middle Name or Initial:
Applicant's Suffix:
Applicant's E-mail Address:
Applicant's Home Street Address:*
City:*
State:*
Zip Code:*
Hiring Department :*
Name of Person Completing This Form:*
How should the Human Resources Office contact this candidate to initiate the Criminal Background Check process?:*
Email (you must provide an email address) U.S. Mail
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