PRE-EMPLOYMENT CHECKLIST






                                   Date: 






Applicant:__________________________________________________________


Position:___________________________________________________________


        References Requested:                 Date Received:
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        Interviewed By:                       Approved By:
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Education verified:_________________________________________________


Licensure of certification verified:________________________________


Bonding Company approval:___________________________________________




Starting Salary $


Fring Benefits [List]: 




Effective starting date: