Pre-Employment Checklist Form

Date:

Applicant:__________________________________________________________

Position:___________________________________________________________

References Requested: Date Received:
____________________ ______________
____________________ ______________
____________________ ______________

Interviewed By: Approved By:
____________________ ______________
____________________ ______________
____________________ ______________

Education verified:_________________________________________________

Licensure of certification verified:________________________________

Bonding Company approval:___________________________________________

Starting Salary $

Fring Benefits (List):

Effective starting date:

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