Post-Conditional Offer Verifications and Checks
Employment Eligibility and Identity Documents Verification
Newly hired employees must complete Section 1 of the Dept. of Homeland Security/U.S. Citizenship & Immigration Services I-9
Form no later than the first day of employment. CUNY is required to verify evidence of identity and employment authorization
within 3 business days of the employee's first day of employment.
Verification of Credentials
Academic and professional credentials, as submitted in CUNY Employment Application Part 1, will be verified by the college.
Criminal Background Check
As a candidate with a conditional offer of employment, you must provide criminal background information. For some positions,
a criminal history report may also be required. CUNY will consider your criminal history in accordance with Article 23-A of the
New York State Correction Law.
A conviction record will not necessarily disqualify you from the position for which you are applying. However, failure to provide
truthful responses will, when discovered, automatically result in the withdrawal of the conditional offer of employment or your
termination, if employed.
Before any adverse action is taken based on a previous criminal conviction, CUNY will
- provide a written Article 23-A analysis to the candidate in a form determined by the New York City Commission on
Human Rights (NYCCHR), together with any and all supporting information and/or documents which formed the basis
and reasons for the adverse action; and
- after providing the candidate with the required documentation, allow him or her at least three business days to respond
and, during that time, hold the position open for the candidate.
Credit History Check, Medical Certification, Medical Examination, Drug Screening, and Physical Agility and Fitness
Assessment
For some positions, a credit history, medical certification, medical examination, drug test, and/or physical agility and fitness
assessment may be required as a condition of employment. CUNY processes all information per applicable laws.
Accommodation required to perform Essential Job Functions
It is the University's policy to provide reasonable accommodations, when appropriate, to individuals with disabilities, individuals
observing religious practices, employees who have pregnancy or child-birth related medical conditions, or employees who are
victims of domestic violence/stalking/sex offenses.
If you require an accommodation to perform the essential job functions for the position for which you have received a
conditional offer of employment, please contact the HR Director at the college or unit where you have received the conditional
offer of employment.
THE CITY UNIVERSITY OF NEW YORK EMPLOYMENT APPLICATION - PART TWO
POST-CONDITIONAL OFFER OF EMPLOYMENT
This form should be completed only after a conditional job offer has been made.
Name
Position
CUNY EMPLOYMENT APPLICATION - PART TWO September 2016
Page 1 of 3
Dept.
College
THE CITY UNIVERSITY OF NEW YORK
APPLICATION FOR EMPLOYMENT - PART TWO
Position
Contract
Title
P.M.
A.M.
Personal Information
First Name
Middle Initial
If known by another name, please provide
Address
City
State
Zip Code
Apt. #
Daytime Phone #
Evening Phone #
e-mail
Job ID#
Full-time
Part-time
Application for Employment - Part Two (Confidential Background Information)
Only candidates who have received a conditional job offer should complete this form.
For questions and concerns, candidates may request guidance from the Office of Human Resources.
The completed form should be submitted to the Office of Human Resources only.
Please complete Page 3
College
CUNY EMPLOYMENT APPLICATION - PART TWO September 2016
Page 2 of 3
3. Please explain below all past convictions or currently pending criminal charges against you (as specified in Questions 1 and 2 above).
Attach additional pages, as necessary.
2. Are there any criminal charges currently pending against you?
No
1. Have you ever been convicted of a misdemeanor or felony? Even if you were convicted, answer "NO" if your conviction:
(a) was sealed, expunged, or reversed on appeal;
(b) was for a violation, infraction, or other petty offense such as "disorderly conduct";
(c) resulted in a youthful offender or juvenile delinquency finding; or
(d) if you withdrew your plea after completing a court program and were not convicted of a misdemeanor or felony.
Yes
No
Yes
Disposition
including
incarceration
Name and
location of Court
Date of
conviction
Offense
Disposition
including
incarceration
Name and
location of Court
Date of
conviction
Offense
Disposition
including
incarceration
Name and
location of Court
Date of
conviction
Offense
Disposition
including
incarceration
Name and
location of Court
Date of
conviction
Offense
COLLEGE USE ONLY
Received by the Director of Human Resources
Name
Date
Confidential Criminal Background Information:
Date
Applicant Attestation:
By my signature below, I declare and affirm that I have read and fully understand that:
Any misrepresentation or material omission of facts on this form shall be sufficient cause to end further consideration of my
candidacy for the position for which I have received a conditional offer of employment or shall be sufficient cause for disciplinary
action up to and including termination, in the event I am hired.
Signature
Signature
CUNY EMPLOYMENT APPLICATION - PART TWO September 2016
Page 3 of 3