Contractor Criminal Background Check Data Collection

For contractors to complete to confirm whether employees have completed CBCs.

Company Name*
Supervisor Name*
The supervisor who is verifying that CBCs were completed for each employee.
First Last
Supervisor's Email*
Employee's Name*
First Last
Did this employee pass the CBC?*
- Yes
- No
If no – Did you notify University Housing for additional follow-up on this employee?*
- Yes
- No
Date CBC was completed:*
MM slash DD slash YYYY