APPLICANT CHECKLIST 1. Name: _______________________________________ 2. Address: _____________________________________ 3. Job Station: ___________________________________ 4. References: ___________________________________ Previous Employers: Date Requested: Date Received: __________________ ______________ ______________ __________________ ______________ ______________ 5. Interview Process: Interviewer Recommendation: _____________________________ ____________________________ _____________________________ ____________________________ 6. Credentials: Education: Licenses: Date Validated: ____________________ ________________ _______________ ____________________ ________________ _______________ 7. Starting Salary: __________________________ 8. Benefits Package: ________________________ 9. Commencement Date: _____________________