Pre-Employment Screening Decision
Form
Confidential/Internal Use Only
Candidate’s
Name: _____________________________________
Name and Number
of Position: ____________________________
Application
Date: __________________
Approved for
Hire__________________
Not Approved
for Hire_______________
Reason for
Decision:___________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Printed
Name:_______________________________________________________________________________
Printed Title,
Signature and
Date_______________________________________________________________