Background Check Acknowledgement
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JIREH COUNSELING AND CONSULTING SERVICE CANDIDATE BACKGROUND CHECK ACKNOWLEDGEMENT STAFF INFORMATION Applicant Position Program Rehire
Wrap Around
IFI
Yes
JCCS Required To Provide Training
Core
No Yes
No
NEW CHILD & ADOLESCENT EMPLOYEES All new employees must provide a Criminal Records check in order to work in the Child and Adolescent Programs. This documentation must be returned to the Human Resources/Contracts Management Office by
___________________ SIGNATURES Signature
Print Name
Date
Witness Signature
Date
BF 804-Candidate Background Check Acknowledgement
Print Name
Copies to Personnel File
Est. Mar 2008
Wrap Around
IFI
Yes
JCCS Required To Provide Training
Core
No Yes
No
NEW CHILD & ADOLESCENT EMPLOYEES All new employees must provide a Criminal Records check in order to work in the Child and Adolescent Programs. This documentation must be returned to the Human Resources/Contracts Management Office by
___________________ SIGNATURES Signature
Print Name
Date
Witness Signature
Date
BF 804-Candidate Background Check Acknowledgement
Print Name
Copies to Personnel File
Est. Mar 2008
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