ࡱ>  PbjbjVV 4<<U +++++????t4?kN.l$MMMMMMM$O;RMQ+@@M++%N"""++M"M"""-N ?l "M;N0kN"Rl PR"R+"*$>b,"$$$$$MM" $$$kNR$$$$$$$$$ : Florida Agricultural and Mechanical University REFERENCE CHECK & EMPLOYMENT VERIFICATION FORM Applicant s Name: FORMTEXT      SSN (last four digits): FORMTEXT      Position Applied For:  FORMTEXT       Position #:  FORMTEXT       I. EMPLOYMENT HISTORY VERIFICATION (This section must be verified and completed in its entirety)  Agency/Organization FORMTEXT       Telephone #: FORMTEXT       (Applicant s Previous/Current Employment History) Address: FORMTEXT      City/State: FORMTEXT      Zip Code: FORMTEXT       Job Title:  FORMTEXT       Employment Date(s): From  FORMTEXT   / FORMTEXT   / FORMTEXT      To  FORMTEXT   / FORMTEXT   / FORMTEXT      Full-Time/Part-Time Hours per week:  FORMTEXT        Salary:  FORMTEXT        FORMCHECKBOX Annual  FORMCHECKBOX Biweekly  FORMCHECKBOX Monthly Reason(s) for Leaving:  FORMTEXT       Eligible for Rehire:  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  N/A  Person Providing Information:  FORMTEXT        Title:   FORMTEXT ^`   : < > @ T V X ` ̺oZN d f $Ifl  $7$8$H$a$gd#Aw` b d h j    ɾ}rɾcXFc}crBh[8'#jhk4Ah[CJUaJhk4AhCJaJjhk4AhCJUaJhk4Ah[8'CJaJ(jhk4Ah[CJUaJmHnHu#juhk4Ah[CJUaJhk4Ah_CJaJjhk4Ah_CJUaJhk4Ah}jCJaJhk4Ah[8'5CJaJhk4Ah}j5CJaJh`l hk4Ah`l CJaJjhk4Ah`l CJUaJf h j 0 $Ifl kd$$Ifl4rYb#(* `  t0|*44 lap2ytk4A   $Ifl   .$Ifl kd]$$Ifl4rYbM (*` `   t0|*44 lap2ytk4A    $Ifl $Ifgd[8'l      ` l   . 0 2 < > @ B \ ^ r ujXuCuuj(jhk4Ah[CJUaJmHnHu#jhk4Ah[CJUaJhk4Ah_CJaJjhk4Ah_CJUaJhk4AhL TCJaJhk4AhL TCJaJhL Thk4AhL TCJ aJ hk4AhL T5CJaJhk4AhL TCJaJhk4AhL T5CJaJhk4AhL T5h[8'hk4Ah[8'CJaJhk4Ah[8'5CJaJhk4Ah[8'CJaJmHnHu   .d$Ifgdk4Al kd$$Ifl4}rYbM (*      t0|*44 lap2ytk4A `  @ B Skd$$Ifl4V0(*\)`  t0|*44 lapytk4A$Ifl $Ifgd#Awl B \ $Ifl r t v V X Z \ p r ޾}n}\nGn}n}(jhk4Ah[CJUaJmHnHu#j hk4Ah[CJUaJjhk4Ah[CJUaJhk4Ah[CJaJhk4Ah[CJ aJ hk4Ah[CJaJh#Awhk4Ah#Aw6CJaJhk4Ah.h6CJaJhL Thk4AhL TCJaJ(jhk4Ah[CJUaJmHnHujhk4Ah_CJUaJ#jhk4Ah[CJUaJ V 0 $Ifl kd$$Ifl4rYb!(* BL   t0|*44 lap2ytk4AV X Z \ ^ p    snFfK$Ifgd[l $Ifl hkd $$Ifl*|* t0|*44 laytk4A          2 4 6 J L N X Z \ ` b d ޾޾޾޾޾u޾c޾#j7hk4Ah[CJUaJhk4Ah[CJaJhk4Ah[CJaJ#jwhk4Ah[CJUaJhk4Ah[CJ aJ h[#jg hk4Ah[CJUaJhk4Ah[CJaJ(jhk4Ah[CJUaJmHnHujhk4Ah[CJUaJ#j hk4Ah[CJUaJ&   2 4 \ ^ $Ifl $Ifgd[l ^ ` b d H555$Ifgd[l kd$$Ifl4\(* V#   t0|*44 lap(ytk4A %kd$$Ifl4\ (*  "   t0|*44 lap(ytk4A$Ifgdepl $Ifl  .0DFHLNPRfhjnprtԿԿԢԿ~ԿlԿa]h[hk4Ah|yCJaJ#jhk4Ah[CJUaJ#jhk4Ah[CJUaJ#jhk4Ah[CJUaJhk4Ah[CJaJ#j#hk4Ah[CJUaJ(jhk4Ah[CJUaJmHnHujhk4Ah[CJUaJ#jhk4Ah[CJUaJhk4Ah[CJaJ# "$68:bdfh$Ifgd;}l $Ifgd5l $Ifl   "4:<PRT^`bdhj۴۴sa#jhk4Ah5CJUaJ#jhk4Ah5CJUaJ#j1hk4Ah5CJUaJ#jhk4Ah5CJUaJhk4Ah5CJ aJ (jhk4Ah5CJUaJmHnHu#jQhk4Ah5CJUaJjhk4Ah5CJUaJhk4Ah5CJaJhk4Ah5CJaJ&  <>fh$IfgdphOl $Ifgd[l $Ifl Ff  <>@TVXbdfjln  $&BDFVX̥񡖋ygU#jEhk4Ah[CJUaJ#jhk4Ah[CJUaJ#j]hk4Ah[CJUaJhk4Ah|yCJaJhk4Ah[CJaJh[(jhk4Ah[CJUaJmHnHu#jhk4Ah[CJUaJjhk4Ah[CJUaJhk4Ah[CJaJhk4Ah[CJ aJ hk4Ah[CJaJh5!hjlnXZH8888$Ifl kd $$Ifl4\ (*  i  t0|*44 lap(ytk4AZ\^`MMMMMMM$Ifgd}jl kd$$Ifl4F(* >(  t0|*    44 lapytk4AX\H H HHHXHdHʿʘٍʿomi^RGhk4Ah[CJaJhk4Ah[5CJaJhk4Ah[CJaJh}jU#jF!hk4Ah}jCJUaJhk4Ah}j5CJaJhk4Ah}jCJaJ(jhk4Ah}jCJUaJmHnHu#j hk4Ah}jCJUaJhk4Ah}jCJaJjhk4Ah}jCJUaJhk4Ah}jCJaJhk4Ah}j5CJaJhk4Ah}j5CJaJh[HHHHHJ:::$Ifl kd!$$Ifl\ 4*` @   t0|*44 laytk4A$Ifgd}jl       II. EMPLOYEE PERFORMANCE RECORD (Information should be provided by the employee s previous/current supervisor)   Performance Strengths Were?:  FORMTEXT        FORMTEXT       Performance Weaknesses Were?:  FORMTEXT        FORMTEXT       Date and Nature of Disciplinary Problems (if any):  FORMTEXT        FORMTEXT       Notable Recognitions, Awards, or Achievements:  FORMTEXT         FORMTEXT        How much supervision of the person was required?  FORMTEXT        FORMTEXT       Were there any complaints lodged against the employee by the public or other employees? If so, what was the nature and outcome?   FORMTEXT         FORMTEXT        Person Providing Information:  FORMTEXT        Title:  FORMTEXT       Under penalties of perjury, I declare that I have examined the information provided in this form and to the best of my knowledge and belief it is true, correct, and complete. 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