Explanation Of Background Screening Findings Form PDF Details

A Background Screening Form is a report that lists the findings of a criminal background check. Employers use this form to determine if an applicant is qualified for a position that involves contact with children, the elderly, or other vulnerable populations. The form will list any convictions of the applicant, as well as any pending charges. It can also indicate whether or not the subject of the background check was fingerprinted. If you're thinking about applying for a job that involves interacting with people who are particularly vulnerable, it's important to know what kind of information a Background Screening Form can contain. This way, you'll be able to understand if there are any convictions or pending charges that could disqualify you from the position. If you have any questions about how to read and interpret this form, don't hesitate to reach out to your local law enforcement agency for more information.

QuestionAnswer
Form NameExplanation Of Background Screening Findings Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameswaiver for employee background check missouri department of health, explanation background, mo findings, WAIVER

Form Preview Example

MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES

 

GOOD CAUSE WAIVER

 

 

 

 

EXPLANATION OF BACKGROUND SCREENING FINDINGS

Type or Print Clearly

(Please use one page for each arrest/investigation)

 

SECTION A: APPLICANT INFORMATION

 

 

 

LAST NAME

FIRST NAME

 

MIDDLE NAME

 

 

 

 

 

APPLICANT SIGNATURE

 

 

SOCIAL SECURITY NUMBER

 

 

 

 

SECTION B: EXPLANATION OF ARREST / INVESTIGATION

 

DATE OF INCIDENT

 

 

 

 

 

 

 

 

EMPLOYER AT TIME OF INCIDENT

 

POSITION HELD

 

 

 

 

 

 

WRITE A SHORT EXPLANATION OF WHAT HAPPENED. (Include how and where it happened, persons present and your description of the incident). (Please use back, if necessary)

EXPLAIN WHY YOU FEEL YOUR GOOD CAUSE WAIVER SHOULD BE APPROVED. (Please use back, if necessary)

MO 580-2918 (5-08)

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