Pre Employment

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:

Pre-Employment Checklist

PRE-EMPLOYMENT CHECKLIST

Date: _

Applicant: _

Position: _

References Requested: Date Received:

_ _

Interviewed By: Approved By:

_ _

Education verified: _

Licensure of certification verified: _
Bonding Company approval: _

Starting Salary $_
Fringe Benefits (list):

_

Effective starting date: _