DBS Hiring Form

This employee supervise or interact with vulnerable individuals or minors under 16.

This employee have direct access to or be responsible for controlled substances or hazardous materials.

This employee regularly operate University vehicles.

This employee have possession of master building key(s).

This employee have access to laboratory facilities, regulated facilities, or dorms.

This employee have direct access to or control of cash, checks, credit card account information, or personally identifiable information (name, social security numbers , bank accounts number, credit card numbers, etc.) which might enable identity theft.

This employee be responsible for transporting students, clients, or others in a private vehicle on a routine basis.

This employee be responsible for transporting minors under the age of 16 at any time.

This employee be operating university-owned or controlled vehicle for any purpose.

DBS Hiring Form

Prospective Hire Information

Funding Source

Backup Funding source

Background Check Information

Additional Comments

Department of Biological Sciences