the gt background screening process - human...

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Screening and Initial Review

HR Manager Review

3 Committee Review

More information:

An independent third-party screener reviews your credit, criminal history, driving record, and any other required background information. Results are sent back to Georgia Tech.

The Fair Credit Reporting Act requires us to notify you of any negative backgroundinformation discovered, and give you an opportunity to explain it.

Important: It is critical that you follow instructions and disclose all required background information. Contact us with any questions or concerns BEFORE submitting your screening documents. Negative circumstances are not an automatic disqualification from employment, but failure to disclose them is.

If there are questions about your background results after the initial review, an HR manager will contact you to discuss the concerns and arrive at a resolution.

Cases not resolved during the HR Manager Review are sent to the Background Investigation Committee, comprised of a three-member panel made up of Legal Affairs, HR and Internal Audit staff. The committee makes the final decision about whether or not the employee is eligible for hire.

Important: It is critical that you actively participate in the review process and meet all specified deadlines.

decision

Making HR Easier:The GT Background Screening Process√Disclose Everything!

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Website: http://www.ohr.gatech.edu/screeningView the policy online: http://policies.gatech.edu/pre-employment-screening Email questions to: [email protected] number: 404.894.1235

Fact: 95% of cases are resolved at step 1.

Fact: Only 2% of all cases reach this step.

Background Screening Process Checklist

The GT Background Screening Process of 5

Congratulations on your contingent offer of employment with Georgia Tech. We’ve created the checklist below to assist you as you progress through the background screening process. Please ensure that you complete each of the activities listed.

When you’re ready, please continue to the next page of the screening packet and complete the requested information. Page 3 of this packet contains fields for you to enter your personal information. On pages 4 and 5, it is critical that you disclose any and all criminal history. A record of criminal charges or convictions is not an automatic disqualification from employment, however failure to disclose all records will be considered falsification of this document and can prevent an offer of employment.

Please submit your completed documents to the Georgia Tech Office of Human Resources via fax at 404-894-1235 OR via mail/hand delivery to 500 Tech Parkway, Atlanta, GA 30332-0435. Make sure to print legibly and to answer all questions completely.

Background Screening Process Activity Completed?(Y/N)

Did you fully disclose all required background information (Personal information, Education, Professional, and Full Criminal History)?

Did you read the summary of your rights under the Fair Credit Reporting Act?

Did you read and sign the Background Disclosure Authorization Form?

Did you complete and sign the Background & Education Information Form (pages 3, 4, and 5 of this packet)?

The following forms should be returned to the Office of Human Resources:

(1) Background Disclosure Authorization Form (2) Background Education Information Form (3) Background Screening Process Checklist Form

All completed forms should be submitted to:

Georgia Tech Office of Human Resources via FAX at (404) 894-1235 OR via mail/hand delivery to: 500 Tech Parkway, Atlanta GA 30332-0435

Signature Date

Are you aware that if you have negative circumstances in your criminal history, it is not an automatic disqualification from employment, but failure to disclose records of criminal convictions and charges that are pending or unresolved can prevent an offer of employment? It is critical that you fully disclose your full criminal history. You are not required to disclose minor violations.

Did you read the background pre-employment policy?(http://policies.gatech.edu/pre-employment-screening)

Did you watch the background screening process video? http://www.ohr.gatech.edu/screening

Please complete and return to the Office of Human Resources

Are you aware that you may contact the Office of Human Resources with any questions before you complete and return the background forms? ([email protected])

Examples of minor traffic violations include: • Parking tickets• Speeding tickets• Equipment violations• Failure to stop

Background & Education Information Form


Please complete the following requested information, sign, and date this form.

Completed forms should be submitted to the Georgia Tech Office of Human Resources via fax at (404)-894-1235 OR via mail/hand delivery to 500 Tech Parkway, Atlanta, GA 30332-0435. Please print legibly and answer all questions completely.

This document has two pages – you must complete both of them. Please continue to the next page complete your criminal history and to certify the accuracy of the information you have provided.

Pers

onal

Info

rmat

ion

Last Name: (include Jr./Sr./III/IV if applicable) First Name: Middle Name:

Other Names Used: (Maiden or Alias) Social Security Number: Date of Birth: MM-DD-YYYY

Current Address: Street, City State Zip County:

Have you lived in any other county or state during the past 7 years? No: Yes (please list below):

Current Address: Street City State Zip County:

Former Address:Street City State Zip County:

Former Address:Street City State Zip County:

Email Address: Daytime Phone Number: Gender: Male: Female:

Place of Birth (City & State - also list country if not in U.S.)

Current Driver’s License Number: Issuing State:

Educ

atio

n

Name of Institution/School/University 1: Graduated? Yes: No:

Graduation Date: Years Attended:

Location of Institution/School/University: (City & State - also list country if not in U.S.) Degree Obtained:

Name of Institution/School/University 1: Graduated? Yes: No:

Graduation Date: Years Attended:

Location of Institution/School/University: (City & State - also list country if not in U.S.) Degree Obtained:

Prof

essi

onal

Profession or Type of License/Certification: State Issued: License Number: If issued under different name, list name:

Profession or Type of License/Certification: State Issued: License Number: If issued under different name, list name:




Crim

inal

His

tory

Have you ever been convicted of, or entered a plea of guilty or no contest (Nolo Contendere), or are any charges now pending against you by any Federal, State, or other law enforcement authorities, for any criminal violation of any federal, state, county or municipal law, regulation, or ordinance. You must include all felonies and misdemeanors other than minor traffic violations.

Examples of minor violations include: • Parking tickets• Speeding tickets• Equipment violations• Failure to stop

You must indicate “Yes” or “No.” This section cannot be left blank.

Yes: No: If yes, describe below the details of all criminal offense(s), including nature, circumstances, date convicted (or date arrested for cases pending a final judicial status), state convicted or charged, and any other pertinent information. Include any convictions by military trial. Use page 5 if additional space is needed.

Criminal Offense Details:

List Arrest Date and Date Convicted or "Pending" DateConvicted

State/County of Offense


List Arrest Date and Date Convicted or "Pending" Date State/County of Offense





I certify that the information I have provided to the Georgia Institute of Technology both orally and in writing, including the information provided on this form, is true, accurate and complete.

Applicant Name (please print):

Applicant Signature: Date:

NOTE: A record of criminal charges or conviction may not automatically prevent an offer of employment with the Georgia Institute of Technology. However, failure to disclose known records of criminal convictions (or criminal charges that are currently in a pending or unresolved judicial status) will be considered falsification of this document and can prevent an offer of employment. It is highly recommended that applicants provide as much known detail about a criminal history as possible.

Pending

Convicted Pending

Convicted Pending

Convicted Pending




If necessary, please use the space below to describe additional details about any and all criminal history. Ensure that you include this page with the rest of the packet.

Completed forms should be submitted to the Georgia Tech Office of Human Resources via fax at (404)-894-1235 OR via mail/hand delivery to 500 Tech Parkway, Atlanta, GA 30332-0435. Please print legibly and answer all questions completely.

Crim

inal

His

tory



















Convicted Pending

Convicted Pending

Convicted Pending

Convicted Pending

Convicted Pending

Convicted Pending

Convicted Pending

Convicted Pending

Convicted Pending


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