VR Partner Background Check Application

Hiring managers should use this form to request background checks for ASL Interpreters, VR contractors, Independent Living Centers, interns or tutors. If you are self-employed, you can complete this form yourself. The information you submit is encrypted from end-to-end.

What type of background check is this?*
Select
Caret IconCaret symbol

Include street, city, state, and ZIP

Select the position type.*
If available, do you want to use preliminary hiring status?*

This gives Partner Agencies the ability to hire the person on a preliminary basis, in a supervised setting, until a complete Fitness Determination can be made. The supervisor role is not limited to management, but can be a staff member who has, themself, passed their own ODHS background check.

Select suffix, if applicable.

Examples include, but are not limited to; married name, maiden name, nickname, birth name, dead name, etc.

Select the applicant's gender.*

Include street, city, state, and ZIP

Include street, city, state, and ZIP

Helpful hint for out-of-state driver's licenses: The employment candidate needs to request a 3-year driving history report from any state DMV office that issued a driver's license to them within the last 5 years.

Preferred format: City, State

Preferred format: MM/YYYY to MM/YYYY

Preferred format: City, State

Preferred format: MM/YYYY to MM/YYYY

Preferred format: City, State

Preferred format: MM/YYYY to MM/YYYY

Preferred format: City, State

Preferred format: MM/YYYY to MM/YYYY

Preferred format: City, State

Preferred format: MM/YYYY to MM/YYYY

Select the type of phone number.*

Select all that apply.

Is driving required for this position?*

Driving requires the use of personal vehicles or state/organization owned vehicles to perform work related duties, attend training, or attend community meetings.

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