Human Resources Background Check Investigation Request Form

IMPORTANT NOTE: All offers made for employment are contingent upon completion of a satisfactory background investigation and/or credit check. It is important that any oral or written offer contain this acknowledgement. All fields are required.

*Position Type

*Applicant's Last Name:

*Applicant's First Name:

*Applicant's Email Address:

*Position Title:

*Position Number:

*Requisition Number:

*Is this applicant a current TTUHSC employee?

*Does this position handle a procurement card and/or money?

*Does this position need a professional license (LVN, RN, etc)?

*Does this position work with minors (under the age of 18) in camps and/or programs affiliated with TTUHSC?

*Requesting Department:

*Contact Name:

*Contact Phone Number :

*Contact Email Address:

THANK YOU

If you have any questions about this form send us an email to: EmploymentServices-ElPaso@ttuhsc.edu.