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This document outlines the policy for background screening and criminal charge disclosure for applicants and students in the Bon Secours St. Mary’s Hospital School of Medical Imaging to ensure patient
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How to fill out Background Screening and Criminal Charge Disclosure

01
Start by gathering all personal information, including full name, address, and date of birth.
02
Review the specific requirements of the Background Screening and Criminal Charge Disclosure form provided by your employer or organization.
03
Fill in the sections related to your employment history and educational background accurately, providing dates and names of institutions.
04
Disclose any criminal charges as required, ensuring to include details such as the nature of the offense, date, and outcome.
05
Double-check all entries for accuracy and completeness before submitting the form.
06
Sign and date the form, confirming that all information provided is true and complete.

Who needs Background Screening and Criminal Charge Disclosure?

01
Individuals applying for jobs in sensitive positions, such as those involving working with children or vulnerable populations.
02
Applicants for licenses or certifications in fields like healthcare, education, and finance.
03
Organizations conducting thorough vetting of potential hires to maintain workplace safety and integrity.
04
Employees undergoing a routine background check for security or compliance purposes.
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The request must include proof of identity. This proof must include your name, date and place of birth, and a set of rolled-inked fingerprints (which can usually be obtained at your local police department).
What information does a background check look for? Criminal activity. One of the components of almost all background screenings is reviewing whether the job candidate has a record of previous criminal activity. Employment history. Education. Credit history. Driving records.
An employer may ask you for all sorts of background information, especially during the hiring process. For example, some employers may ask about your employment history, your education, your criminal record, your financial history, your medical history, or your use of online social media.
Primary List State-issued driver's license. U.S. Passport or U.S. Passport Card. Federal Government Personal Identity Verification Card (PIV) Uniformed Services Identification Card. Department of Defense Common Access Card. Foreign Passport with Appropriate Immigration Document(s) USCIS – Permanent Resident Card (I-551)
A disclosure regarding background investigation must focus solely on the background check. Avoid adding details about company policies, liability releases, unrelated employment terms, or even state-specific background check language.
First Paragraph: List your conviction(s), the dates and a brief explanation of the circumstances (explain in two sentences or less and focus on the big picture). Express regret and responsibility. Second Paragraph: Focus on how you have paid your debt to society and the ways in which you have improved your life.

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Background Screening and Criminal Charge Disclosure is the process by which an employer or organization verifies an individual's criminal record and history to assess their suitability for a particular position or responsibility.
Typically, individuals applying for jobs in sensitive areas such as finance, healthcare, childcare, and positions requiring a high level of trust or security clearance are required to file Background Screening and Criminal Charge Disclosure.
To fill out Background Screening and Criminal Charge Disclosure, an individual must provide personal information such as their full name, date of birth, social security number, and any previous addresses. Additionally, they must disclose any criminal charges or convictions if applicable.
The purpose of Background Screening and Criminal Charge Disclosure is to ensure that employers make informed hiring decisions and maintain a safe and secure work environment by identifying any potential risks associated with a candidate.
The information that must be reported on Background Screening and Criminal Charge Disclosure includes any criminal convictions, pending charges, relevant date of incidents, and any other information deemed necessary based on the nature of the position.
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