Form

Background Investigation

Relative Questionnaire- Your answers will not be shared with the applicant.
Today's date: *

Month Day Year
Your name: *

First Name Last Name
E-mail:
Phone Number:

- Area Code Phone Number
Applicant's Name: *

First Name Last Name
I am this applicant's:
If you answered "Other" above:
How often do you have contact with the applicant?
How would you describe the applicant's personality? Has it changed?
How does the applicant handle adversity, stress or frustrating situations?
Has the applicant ever been impulsive or acted in a reckless manner while driving?
Are you aware of any domestic abuse during any of the applicant's past or present relationships? If yes provide details.
How does the applicant interact with people in general?
How would you describe the applicant's verbal and writing skills?
How would you describe the applicant's judgment/decision making skills?
Are you aware of any history of employment problems?
Have you ever observed or suspected the applicant was committing any alcohol or drug related Crimes?
Are you aware of the applicant having any negative contact with law enforcement?
Has the applicant ever displayed a prejudice toward anyone?
Do you have any knowledge of how the applicant manages finances?
Have you ever questioned the applicant's honesty or integrity? If yes, please explain
What areas do you think the applicant could improve?
Would you recommend the applicant for this position? Why?
Is there anything you think is important to note that was not asked?
Office Use Only: Investigator Conducting Interview:
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Background Investigation