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Background Check Request
 
Applicant's WKUID:
   *Applicant's First Name:
   *Applicant's Middle Name
   *Applicant's Last Name
Enter the Applicant's Phone Number
Enter the Applicant's Email Address
Position Number   
Enter the index number of the department in which the above named individual is to be employed.   
Name of the DEPARTMENT HEAD to whom the results of this background investigation should be forwarded?