Adecco 219349 All Pkgs 126_rose
This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA
Overview
Download & View Adecco 219349 All Pkgs 126_rose as PDF for free.
More details
- Words: 694
- Pages: 3
Adecco Bank of America
Page 1 of 3
Request Form "I have read, understand and agree to the following: The background information that I supply in connection with my employment application will be verified by Adecco Employment Services, Inc. and/or LexisNexis Screening Solutions (collectively "The Companies") and by mutual associates to insure that the information that I provide is accurate in every way. The information to be verified includes any and all information supplied on any application forms, addendums or resume, and information provided in any conversation or interview with any employee of The Companies. This may include discussions with references (personal or business) that I provide. I authorize The Companies and/or their agents to conduct a thorough inquiry into all areas deemed necessary to arrive at a hiring decision or decision regarding placing me on assignment including but not limited to all employment and public record information relating to my application and/or addendum may be examined. I specifically release Adecco Employment Services, Inc. ("Adecco"), LexisNexis Screening Solutions, Bank of America, employers, criminal information repositories and courts, schools, law enforcement agencies, local, state and federal administrators, credit bureaus, institutions or persons from any liability so that they may freely and completely respond to any inquiry relating to my application for employment with Adecco and/or consideration for any assignments through Adecco. I certify that all information provided on this Background Request Form is true and complete. I understand that any omission or misinformation on this form, my application and/or my addendum may prohibit my employment or be the grounds for immediate termination whenever such omission or misinformation is discovered." Signature__________________________________________________________ Social Security Number
Date____________________________
Last Name
***** Select ONE package option from the following ****** Select the skill set below that is reflected on the Job Posting in Fieldglass. #1 Staffing Partner Packages For packages requested in these skill categories, the MSP Subcontractor Company (Staffing Partner) that submits the screening will be charged. Account #
Location
2 1 9 3 4 9
1 2 6
Requester Name
Voice Telephone Number
Fax Number
Optional Search
(Only when required) GSA
Staffing Partner Packages Creative
Finance & Accounting (I & II)
Professional
System Administrator
Data Consultant
Legal ( I & II)
Programmer
Systems Analyst
Developer
Light Industrial
Project Management
Technical Support
Engineer
Network
QA
#2 Bank of America Packages Bank of America will be billed directly for these screenings. Account #
Location
2 1 9 3 4 9
1 2 6B
BOA Company #
OA
BOA Cost Center #
0 0
Requester Name
Voice Telephone Number
Fax Number
Bank of America Packages
Revised 9/4/09
Call Center
CRE / Mortgage
Clerical
Payroll
Optional Search (Only When required)
GSA
FAX to LexisNexis Screening Solutions at 1-800-699-4874 AND Adecco Compliance at 1-631-844-7551 For LexisNexis Assistance call Adecco.Support at 1-866-438-5647 or e-mail [email protected]
Adecco Bank of America
Page 2 of 3
Request Form
Social Security Number
Last Name
Personal Information...Print capital letters in the boxes. Try not to touch the sides of the boxes.
A B CD E F G H I J K LMN O PQ RS T U VWX YZ First Name
Middle Name
Last Name
Previous Legal Name Within Last 10 Years
City of Current Residence
State
Zip
County of Current Residence
Social Security Number
Date of Birth (month-day-year)
Driver's License Number
State
Requester Name
Voice Telephone Number
Account #
2 1 9 3 4 9
Revised 9/4/09
Fax Number
Location
1 2 6
FAX to LexisNexis Screening Solutions at 1-800-699-4874 AND Adecco Compliance at 1-631-844-7551 For LexisNexis Assistance call Adecco.Support at 1-866-438-5647 or e-mail [email protected]
Adecco Bank of America
Page 3 of 3
Request Form Social Security Number
Last Name
Current and Previous cities lived and worked for the last 10 years.
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
Requester Name
Voice Telephone Number
Account #
2 1 9 3 4 9
Fax Number
Location
1 2 6
FAX to LexisNexis Screening Solutions at 1-800-699-4874 AND Adecco Compliance at 1-631-844-7551 For LexisNexis Assistance call Adecco.Support at 1-866-438-5647 or e-mail [email protected] Revised 9/4/09
Page 1 of 3
Request Form "I have read, understand and agree to the following: The background information that I supply in connection with my employment application will be verified by Adecco Employment Services, Inc. and/or LexisNexis Screening Solutions (collectively "The Companies") and by mutual associates to insure that the information that I provide is accurate in every way. The information to be verified includes any and all information supplied on any application forms, addendums or resume, and information provided in any conversation or interview with any employee of The Companies. This may include discussions with references (personal or business) that I provide. I authorize The Companies and/or their agents to conduct a thorough inquiry into all areas deemed necessary to arrive at a hiring decision or decision regarding placing me on assignment including but not limited to all employment and public record information relating to my application and/or addendum may be examined. I specifically release Adecco Employment Services, Inc. ("Adecco"), LexisNexis Screening Solutions, Bank of America, employers, criminal information repositories and courts, schools, law enforcement agencies, local, state and federal administrators, credit bureaus, institutions or persons from any liability so that they may freely and completely respond to any inquiry relating to my application for employment with Adecco and/or consideration for any assignments through Adecco. I certify that all information provided on this Background Request Form is true and complete. I understand that any omission or misinformation on this form, my application and/or my addendum may prohibit my employment or be the grounds for immediate termination whenever such omission or misinformation is discovered." Signature__________________________________________________________ Social Security Number
Date____________________________
Last Name
***** Select ONE package option from the following ****** Select the skill set below that is reflected on the Job Posting in Fieldglass. #1 Staffing Partner Packages For packages requested in these skill categories, the MSP Subcontractor Company (Staffing Partner) that submits the screening will be charged. Account #
Location
2 1 9 3 4 9
1 2 6
Requester Name
Voice Telephone Number
Fax Number
Optional Search
(Only when required) GSA
Staffing Partner Packages Creative
Finance & Accounting (I & II)
Professional
System Administrator
Data Consultant
Legal ( I & II)
Programmer
Systems Analyst
Developer
Light Industrial
Project Management
Technical Support
Engineer
Network
QA
#2 Bank of America Packages Bank of America will be billed directly for these screenings. Account #
Location
2 1 9 3 4 9
1 2 6B
BOA Company #
OA
BOA Cost Center #
0 0
Requester Name
Voice Telephone Number
Fax Number
Bank of America Packages
Revised 9/4/09
Call Center
CRE / Mortgage
Clerical
Payroll
Optional Search (Only When required)
GSA
FAX to LexisNexis Screening Solutions at 1-800-699-4874 AND Adecco Compliance at 1-631-844-7551 For LexisNexis Assistance call Adecco.Support at 1-866-438-5647 or e-mail [email protected]
Adecco Bank of America
Page 2 of 3
Request Form
Social Security Number
Last Name
Personal Information...Print capital letters in the boxes. Try not to touch the sides of the boxes.
A B CD E F G H I J K LMN O PQ RS T U VWX YZ First Name
Middle Name
Last Name
Previous Legal Name Within Last 10 Years
City of Current Residence
State
Zip
County of Current Residence
Social Security Number
Date of Birth (month-day-year)
Driver's License Number
State
Requester Name
Voice Telephone Number
Account #
2 1 9 3 4 9
Revised 9/4/09
Fax Number
Location
1 2 6
FAX to LexisNexis Screening Solutions at 1-800-699-4874 AND Adecco Compliance at 1-631-844-7551 For LexisNexis Assistance call Adecco.Support at 1-866-438-5647 or e-mail [email protected]
Adecco Bank of America
Page 3 of 3
Request Form Social Security Number
Last Name
Current and Previous cities lived and worked for the last 10 years.
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
City
State
Zip
Requester Name
Voice Telephone Number
Account #
2 1 9 3 4 9
Fax Number
Location
1 2 6
FAX to LexisNexis Screening Solutions at 1-800-699-4874 AND Adecco Compliance at 1-631-844-7551 For LexisNexis Assistance call Adecco.Support at 1-866-438-5647 or e-mail [email protected] Revised 9/4/09
Related Documents
Adecco 219349 All Pkgs 126_rose
June 2020 5
Adecco Sustentabilidad.pdf
November 2019 21
Nit1814 (4 Pkgs)
June 2020 1
Tn1830 .pdf (5 Pkgs)
June 2020 1
Corrigandum (4 Pkgs.)
June 2020 1