Criminal Background Check Request

This is for UW Oshkosh Departmental Use Only
See "Criminal Background Check Disclosure Form" to have a CBC completed on yourself.

For questions, contact:
Brenda Rens 920.424.1166 rensb@uwosh.edu
Jo Fenrich 920-424-2279, fenrich@uwosh.edu

Applicant Information

Criminal background check is requested for:

Position Title

Position Start Date

/ /

Last Name

First Name

Middle Initial

E-mail Address

Phone Number

Street Address, Apt #

City

State

Zip Code

Department Information

Department Name

Account Number to Charge CBC

Contact Name

E-mail Address

Phone Number

Date Requested

/ /

Filed under: Recruitment/Hiring

Human Resources - University of Wisconsin Oshkosh
328 Dempsey Hall • 800 Algoma Blvd. • Oshkosh WI 54901 • Office Hours: Monday-Friday: 7:45 a.m. - 4:30 p.m.

site map accessibility contact get help log in