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NEP Broadcasting
Pre-employment Form

Should you require assistance please click Live Chat or contact Alex Selkirk @ 214-295-6676

*(denotes required field)

Name*

E-Mail Address*

Company Name*

Division Name*

Hire Date*

 Background Check
 Drug Screen (Non DOT)
 Drug Screen (DOT)
 DOT Random
 DOT Physical
 Motor Vehicle Records
 Education Verification
 Employment Verification
 Employment Credit Report
 References

Candidate Name*

Candidate Address (Home)

Zipcode for drug screen if different from Home Address

Candidate Email Address

Date of Birth

Candidate SSN

Driver's License Number

State of Issuance

Date of Expiration

School Name(s) Year Graduate and Degree(s)

Last Name at time of Graduation

Previous Employers and Contact Number

Message

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Captcha Code*

Pre-Employment Form

Please Click Live Chat for comments/questions

*(denotes required field)

Name*

E-Mail Address*

Phone Number

Company Name

Hire Date

 Background Check
 Drug Screen
 Motor Vehicle Records
 Employment Credit Report
 Business Profile Report
 Education Verification
 Employment Verification
 References (Professional/Personal)

Candidate Name

Candidate Address

Candidate Email

Candidate Phone Number

Social Security Number

Date of Birth

Driver's License Number

State of Issuance

Date of Expiration

School Name (s) Year Graduated – Degree

Name When Graduated

References - Professional/Personal

Employment Verification (Company Information)

Company Name (Business Profile)

Company Address (Business Profile)

FEIN (Business Profile)

captcha
Captcha Code*

E-Verify Form

Please Click Live Chat for comments/questions

*(denotes required field)

Name: *

E-Mail Address: *

Phone Number *

Company Name *

Company Division Name (if applicable)

Hire Date *

First Name *

Middle Name

Last Name *

Social Security Number *

Date of Birth *

 A citizen of the United States
 A noncitizen of the United States
 A lawful permanent resident
 An alien authorized to work

What documents did the employee present for Section 2 of Form I-9?
(field)

Document Type *

If Applicable # (eg. Drivers License #)

If Applicable State of Issue

If Applicable Document Expiration: Date *

Document Type

If Applicable # (eg. Passport #)

If Applicable State of Issue

If Applicable Document Expiration: Date

captcha
Captcha code

Contractor Background
Check Authorization Form

Please ensure to use your LEGAL NAME within the form. Questions - Call 800-284-5415 or Click Live Chat Button

*(denotes required field)

First Name: *

Middle Initial:

Last Name: *

E-Mail Address: *

Street Address #1 *

Street Address #2

City *

State *

Zip Code *

Contact Number *

Date of Birth *

SSN:*

Drivers License Number

State of Issuance

Have you been convicted of a crime (Enter Yes or No) *

If you answered Yes above please provide information - If No place NA

Contract Position Applying For *

Company Representing *

Authority to Release Information *
 Authority to Release Information
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CAPTCHA Code: *

Offer Acceptance
Initiate New Hire Set Up

Please ensure to use your LEGAL NAME within the form. Questions - Call 214-432-0682 or Click Live Chat Button

*(denotes required field)

First Name: *

Middle Initial:

Last Name: *

E-Mail Address: *

Street Address #1 *

Street Address #2

City *

State *

Zip Code *

Contact Number *

Date of Birth *

SSN:*

Drivers License Number *

State of Issuance

Expiration Date *

Position Applying For *

Company Applying With *

Offer Letter Acceptance *
 Offer Letter Acceptance
captcha
CAPTCHA Code: *

Personal Accident/Injury Report

Personal Injury/Accident Report

*(denotes required field)

First Name: *

Last Name: *

E-Mail Address: *

Name Of Injured Person (Employee) *

Date of Accident/Injury *

Date Form Completed *

Home Phone

Cell Phone

Address where incident occurred? *

What type of accident? *

What are the injuries? *

Do you need to go the hospital? yes/no *

"if yes" Direct employee to go to the hospital

If car accident - Were there passengers in the car? yes/no

If yes - Get name(s)

If car accident - ensure the police are called

If car accident - ensure a police report is obtained

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Captcha Code

Employee Referral Form

Please complete if you have referred a candidate to a position.

Thank You for the Referral!
*(denotes required field)

Name *

E-Mail Address: *

Your Position/Job Title *

Your Location *

Name of Referred Candidate *

Have you recommended him/her before Yes or No *

If Yes -Date - Position / If No - Type NA *

Relationship to Employee *

Have you worked professionally with this candidate? Yes or No *

Yes: How many years - Where / If No - Type NA *

If hired, would the caniddate be reporting to you? Yes or No *

Recommened for what Position and Location *

Briefly describe why you recommend this candidate. *

Please attach resume *

Acceptable file types: doc,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

Acceptance of the Terms and Conditions *
 Acceptance of the Terms and Conditions
captcha
Captcha Code :

NEP Broadcasting
Pre-employment Form

Should you require assistance please click Live Chat or contact Alex Selkirk @ 214-295-6676

*(denotes required field)

Name*

E-Mail Address*

Company Name*

Division Name*

Hire Date*

 Background Check
 Drug Screen (Non DOT)
 Drug Screen (DOT)
 DOT Random
 DOT Physical
 Motor Vehicle Records
 Education Verification
 Employment Verification
 Employment Credit Report
 References

Candidate Name*

Candidate Address (Home)

Zipcode for drug screen if different from Home Address

Candidate Email Address

Date of Birth

Candidate SSN

Driver's License Number

State of Issuance

Date of Expiration

School Name(s) Year Graduate and Degree(s)

Last Name at time of Graduation

Previous Employers and Contact Number

Message

captcha
Captcha Code*

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Employee Referral Form

Please complete if you have referred a candidate to a position.

Thank You for the Referral!
*(denotes required field)

Name *

E-Mail Address: *

Your Position/Job Title *

Your Location *

Name of Referred Candidate *

Have you recommended him/her before Yes or No *

If Yes -Date - Position / If No - Type NA *

Relationship to Employee *

Have you worked professionally with this candidate? Yes or No *

Yes: How many years - Where / If No - Type NA *

If hired, would the caniddate be reporting to you? Yes or No *

Recommened for what Position and Location *

Briefly describe why you recommend this candidate. *

Please attach resume *

Acceptable file types: doc,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

Acceptance of the Terms and Conditions *
 Acceptance of the Terms and Conditions
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Captcha Code :

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