HR Due Diligence Questionnaire

HR Due Diligence Questionnaire

Purpose: This questionnaire collects information necessary to complete pre-employment due diligence, background screening, credential verification, and internal compliance review. Complete all sections accurately. If a question does not apply, enter N/A. Incomplete or false responses may affect employment eligibility.

Personal Information

Date of Birth:    Last 4 of Government ID (if requested):

Position Information

Reporting Manager:    Proposed Start Date:

Employment Type (check all that apply):
Full-time   Part-time   Temporary   Contractor

Employment History (Most Recent First)

Employer 1

Employer 2

Education & Professional Credentials

Graduation / Award Date:    Major / Field:

References (Professional)

Reference 1

Reference 2

Reference 3

Background & Disclosure Questions

Have you ever been convicted of, or pleaded guilty or nolo contendere to, a felony or misdemeanor other than a minor traffic offense?   Yes   No

Have you ever been the subject of a professional misconduct investigation, disciplinary action, or licensing sanction?   Yes   No

Has any employer ever terminated your employment for cause, or have you resigned while under investigation?   Yes   No

Are you legally authorized to work in the country of employment and, if required, able to provide documentation upon request?   Yes   No

Compensation & Benefits History

Current or most recent annual base pay:    Bonus / Variable Pay (last 12 months):

Authorization & Release

By signing below I authorize the organization and its authorized agents to verify all information in this questionnaire, to obtain records from prior employers, educational institutions, licensing authorities, and references, and to obtain consumer and/or investigative background reports where permitted by law. I consent to release of information from any person or entity contacted in the course of such verification and agree to hold such persons and the organization harmless from liability for providing or using such information in good faith.

I understand that information collected in this questionnaire will be used for employment-related determinations, and that the organization will store and process this information in accordance with applicable privacy and data protection obligations. I further acknowledge that employment, if offered, may be conditioned on the results of background checks and verification of credentials.

Applicant Certification

I certify that all information provided in this questionnaire is true, complete, and correct to the best of my knowledge. I understand that any misrepresentation or omission of facts may disqualify me from further consideration, or may result in revocation of an offer or termination of employment. I acknowledge that this document is not an employment contract and that, unless otherwise agreed in a signed written agreement, employment with the organization is at-will.

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