Skip Navigation Font Size: Smaller | Standard | Larger
UW-Parkside HOME • 262-595-2204 •  E-mail Human Resources 

New Hire Notification

 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
* required fields
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

   

UW-Parkside logo

© University of Wisconsin-Parkside • 900 Wood Road • P.O. Box 2000
Kenosha, WI 53141-2000 • 262-595-2345 • Questions or comments?
Contact UW-Parkside!