New Candidate Submission Form

Agency Code

Passcode (If your passcode is not correct, your submission will not be saved to your agency account)

Department Name

Backgrounds@ Email

Candidate Name (LAST, First, Middle)

Candidate's Last 4 SSN

Candidate's Email

Candidate's Mobile Number

Has a Conditional Job Offer (CJO) been given?

Job Classification (shown as: Agency Type - Job Type - Job Classification)