Attachment B ASSESSMENT FORM TEMPLATE SUGGESTION Name of Person Description of the position the person occupies or will occupy The person provided an original or certified copy of all relevant National Police Checks Outcome of NPC/Stat Dec checks National Police Checks Required: Name of Country Date NPC Received NPC authenticity NPC disclosed no convictions NPC disclosed a conviction requiring further Did disclosed conviction preclude checked (Y/N) (Y/N) assessment. Refer to Attachment XX individual from employment? (Y/N) Name of Country Date Stat Dec/equivalent was signed Applicant disclosed no convictions (Y/N) Applicant disclosed a conviction requiring Did disclosed conviction preclude further assessment. Refer to Attachment XX individual from employment? (Y/N)
Attachment B ASSESSMENT FORM TEMPLATE SUGGESTION Name of Person Description of the position the person occupies or will occupy The person provided an original or certified copy of all relevant National Police Checks Outcome of NPC/Stat Dec checks National Police Checks Required: Name of Country Date NPC Received NPC authenticity checked (Y/N) NPC disclosed no convictions (Y/N) NPC disclosed a conviction requiring further assessment. Refer to Attachment XX Did disclosed conviction preclude individual from employment? (Y/N) Name of Country Date Stat Dec/equivalent was signed Applicant disclosed no convictions (Y/N) Applicant disclosed a conviction requiring further assessment. Refer to Attachment XX Did disclosed conviction preclude individual from employment? (Y/N)
Criminal%20Record%20Check.docx