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Cracker Barrel Old Country Store¨

Background Verification

All applicants for employment by Cracker Barrel Old Country Store¨ must consent to background verifications. This form serves to provide necessary information in order to conduct the background verifications.Your accuracy and thoroughness will help expedite the processing of your application.

Please complete the following information. It is requested that you complete all information on this sheet even if it is already included on your application form or resume. Note: Date of birth and maiden name are not considered in the employment decision.This information is utilized for accurate records verifications only.

Please Print All Information

Your Name

SS#

Your Address

Daytime Telephone (

)

Ñ

Evening Telephone

(

)

Ñ

College

 

 

 

 

 

 

 

Location

 

 

 

Degree No 2 - Year

4 - Year

 

 

Graduate Degree

 

 

 

 

 

 

 

Last Mo./Yr.Attended

 

 

Telephone

(

)

Ñ

Date of Birth

/

/

 

Drivers License #:

 

 

 

State

 

 

 

Maiden Name or Other Name Used:

Year this name was last used:

I request that this document in its original or copied form serve as my valid authorization to any and all persons, educational institutions, past and/or current employers, organizations, credit reporting agencies, law enforcement or criminal record agencies, and other agencies to release information about me to a third party agency or its designated agent, and hereby release all persons, institutions, agencies, employers, and organizations providing such information from liability in any or all claims and damages connected with their providing any requested information.

Authorized by candidate:

Signature

Date Signed

/

/

 

 

 

Three Past/Current Employment Supervisors

Cracker Barrel Old Country Store, Inc. recruiter name

All references you list are subject to contact as part of our pre-employment process.

Please furnish current telephone numbers for references.

1. Name

Title

Phone (

)

Ñ

Company Name

 

 

Company Address

Employment Dates

Your Position

Salary

2. Name

Title

 

Phone

(

)

 

Ñ

 

Company Name

 

 

 

 

 

 

 

 

 

Company Address

 

 

 

 

 

 

 

 

 

Employment Dates

 

/

/

 

Your Position

 

 

 

 

Salary

 

 

 

 

3. Name

 

 

 

 

 

Title

 

 

 

 

 

Phone

(

)

 

Ñ

 

Company Name

 

 

 

 

 

 

 

 

 

Company Address

 

 

 

 

 

 

 

 

 

Employment Dates

 

/

/

 

Your Position

 

 

 

 

Salary

 

 

 

 

Page 1 of 2

Cracker Barrel Old Country Store¨

Background Verification Cont’d

Applicant Name

Please provide a list of cities, including state and zip, where you have lived or worked in the last seven (7) years. Use an extra sheet if necessary.

Please be sure all letters and numbers are legible.

Previous City

State

Zip

Date

/

/

Previous City

 

 

 

State

Zip

Date

/

/

Previous City

 

 

 

State

Zip

Date

/

/

Previous City

 

 

 

State

Zip

Date

/

/

Previous City

 

 

 

State

Zip

Date

/

/

Previous City

 

 

 

State

Zip

Date

/

/

Previous City

 

 

 

State

Zip

Date

/

/

Have you ever been convicted, entered a plea of no contest, had prosecution deferred, or adjudication withheld for any crime except for minor traffic violations? (Will only be considered in relation to specific job requirements.)

Y ______ N ______

If yes, please explain.

Page 2 of 2

Document Information

Fact Name Details
Consent Requirement All applicants must consent to background verifications as part of the employment process at Cracker Barrel Old Country Store.
Information Utilization The information collected is used solely for the purpose of accurate records verification.
Non-Discriminatory Information Date of birth and maiden name are not considered in the employment decision.
Reference Contact All references provided by the applicant may be contacted during the pre-employment process.
Criminal History Inquiry Applicants must disclose any convictions or pleas related to crimes, except for minor traffic violations, which will be evaluated based on specific job requirements.
State-Specific Laws Background check laws vary by state. For instance, California's law mandates that applicants must be informed of their rights regarding background checks under the Fair Credit Reporting Act.

Cracker Barrel Background Check - Usage Guidelines

Filling out the Cracker Barrel Background Check form is an important step in the application process. This form collects necessary information to ensure a thorough background verification. Taking your time to fill it out accurately will help speed up your application review. Here are the steps to complete the form:

  1. Print your name: Write your full name clearly at the top of the form.
  2. Provide your Social Security Number: Enter your SS# in the designated space.
  3. List your address: Write your current address, including street, city, state, and zip code.
  4. Enter your daytime and evening telephone numbers: Include the area codes.
  5. Fill in your college information: Indicate the location of your college and select your degree type from the options provided.
  6. Provide the last month and year attended: Fill in the date you last attended college.
  7. List your driver's license number and state: Write down your driver's license number and the state it was issued in.
  8. Include your maiden name or any other name used: If applicable, provide your maiden name and the year it was last used.
  9. Sign and date the authorization: Sign the form and include the date you signed it.
  10. List three past/current employment supervisors: For each supervisor, provide their name, title, phone number, company name, company address, employment dates, your position, and salary.
  11. List cities where you have lived or worked: Write down the cities, states, and zip codes for all locations you have lived or worked in the last seven years.
  12. Answer the conviction question: Indicate if you have ever been convicted of a crime (excluding minor traffic violations) and provide an explanation if necessary.

Once you have completed the form, double-check all the information for accuracy. This ensures that your application process can move forward smoothly.

Dos and Don'ts

When filling out the Cracker Barrel Background Check form, there are several important dos and don'ts to keep in mind to ensure a smooth application process.

  • Do provide accurate and complete information. This helps avoid delays in processing your application.
  • Do include all required details, even if they are already on your resume. Consistency is key.
  • Do ensure your references are aware they may be contacted. This can help facilitate the verification process.
  • Do print clearly. Illegible handwriting can lead to misunderstandings and delays.
  • Do sign and date the form. An unsigned form may be considered incomplete.
  • Don't omit any information, especially regarding past employment or addresses. Omissions can raise red flags.
  • Don't provide false information. Misrepresentation can lead to disqualification from the hiring process.
  • Don't ignore the request for your maiden name or other names used. This is important for accurate background checks.
  • Don't leave out your contact numbers. Ensure both daytime and evening numbers are provided.
  • Don't forget to check for typos or errors before submitting the form. Small mistakes can cause big issues.

Common mistakes

  1. Not Providing Complete Information: Applicants often leave sections blank. Every part of the form is important. Fill out all requested details to avoid delays.

  2. Illegible Handwriting: If the information is hard to read, it can cause problems. Write clearly and neatly to ensure accuracy.

  3. Incorrect Social Security Number: Double-check your SSN. An error here can lead to significant issues during the background check.

  4. Missing Contact Information for References: Make sure to include current phone numbers. Without this, the hiring process may be delayed.

  5. Omitting Previous Addresses: Failing to list all places you've lived in the last seven years can lead to incomplete background checks. Be thorough.

  6. Not Signing the Form: Forgetting to sign can invalidate your application. Always check that you have signed and dated the form.

  7. Providing Inaccurate Employment Dates: Ensure the dates of employment are correct. Mistakes can raise red flags during the verification process.