IT Contractor Background Check Form
Full Name
Date of Birth
Current Address
Phone Number
Email Address
Contract Details
Contracting Company/Agency
Position/Role
Contract Start Date
Contract End Date
Background Information
Have you ever been convicted of a criminal offense?
No
Yes
If yes, please provide details
Professional Reference #1 (Name & Contact)
Professional Reference #2 (Name & Contact)
Declaration & Consent
I consent to a background check and confirm that all information provided is accurate.
Signature
Date