NCS Administrators Hiring Checklist

Part I: To be completed by the employees immediate supervisor. Write N/A if the form does not pertain to the
employee who is being hired. Return completed form to the NCS President.

Employee Name: _________________________________ First day of work: ________________

Item description Date Completed CO

(mm/dd/yyyy)
Verified
1. ___ Resume, application, letter of interest collected, 2 sets of narration outlining
references submitted as a packet to President _____

2. ___ Employee recd hiring packet - signed contract or LOE submitted to CO _____

3. ___Collected completed Basic Criminal Background Check form at time of

onboarding to be submitted immediately to diocese. ____________ _____

4. ___ Collected 2 appropriately completed fingerprint cards and FBI Authorization

Form prior to first day on the job and returned to CO Attn: Patty ___________ ______

5. ___ Handed out both sexual abuse policy books and collected completed compliance
form and Employee and Volunteer Questionnaire and confirmed correct signing
dates entered on Yearly Dates Report and forwarded to CO.
Maintained original compliance forms in local file. _____

6. ___ Collected completed I-9 (including administrator portion of form), W-4,

WI Withholding Form, Direct deposit form, and Employee Data Sheet
during first week of hire and submitted to Patty. _____

7. ___ Collected and forwarded TB test results within first month of hire _____

8. ___ Collected and forwarded completed diocesan insurance form within first
2 weeks of hire _____

9. ___ Followed up on Flex and retirement forms and forwarded to CO _____

10. ___ Completed Bloodborne Pathogen training and Quiz kept in local file ____________

11. ___ Collected signed job description and maintain it in local file for annual review

I verify that all of the above information has been completed as indicated.

Administrator/Supervisors Signature:

Print Administrator/Supervisors Name: Date:

Do not write below this line

******************************************************************************************************
Date issued:
Date recd/completed:
CO admin. signature:

Version: 5/2/16 PMT