Hello,
Creating a background verification form for a hospital is a critical task as it involves verifying the qualifications, professional history, and criminal records of potential employees. Here's a simple step-by-step guide you can follow:
Step 1: Personal Information 📉
Start with fields for the candidate's full name, date of birth, gender, and contact details (email, phone number). This helps to identify the individual and ensure accurate background checks.
Step 2: Address History 🏠
Include a section for past addresses for at least the last 10 years. This is important for conducting location-based checks for any criminal history.
Step 3: Employment History 💼
Ask for details about their past employment, including the organization's name, address, supervisor's name, position held, reason for leaving, and employment dates.
Step 4: Education Details 🎓
Include fields for their highest degree, the institution's name and address, and the dates of attendance. This will help verify the candidate's educational qualifications.
Step 5: References 📪
Ask for at least two professional references with their contact information, position, and relationship with the applicant.
Step 6: Criminal History 🔊
Include a section where the candidate must disclose if they have any criminal history.
Step 7: Declaration and Signature 🖋️
Finally, include a declaration stating that all the information provided is true to the best of their knowledge and any falsification can lead to rejection or termination. Leave space for the applicant's signature and date.
Remember, under the Indian IT Act 2000 and the Indian Penal Code, it is illegal to provide false information on such forms. Also, under the Right to Privacy (Article 21 of the Indian Constitution), it is imperative to get explicit consent from the candidate before conducting any background checks.
Please note, this is a basic structure. Depending on your hospital's requirements, you might want to add specific sections like professional license verification for doctors, nurses, etc.
I hope this helps in creating a comprehensive background verification form for your hospital.