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Care Provider Background Screening Clearinghouse
Background Screening Request Form
You have applied for a position with a health care and/or service provider regulated by a specified agency in the
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What is you have applied for?
I have applied for a job as a software engineer.
Who is required to file you have applied for?
The HR department is required to file the application for the job.
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You can fill out the application online by providing your personal information and uploading your resume.
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The purpose of applying for the job is to secure employment as a software engineer.
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You must report your education background, work experience, skills, and references on the application.
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