Individual Assessment | Criminal Conviction Questionnaire

This comprehensive questionnaire is designed to assist employers in conducting individualized assessments of criminal records in accordance with EEOC guidance and best hiring practices. The form enables applicants to provide context surrounding their criminal history, rehabilitation efforts, and employment record — helping employers make fair, informed, and compliant hiring decisions.

By incorporating this assessment tool into your hiring process, you demonstrate a commitment to equal employment opportunity, risk mitigation, and consistent evaluation standards. It ensures every applicant is given a fair chance to explain the circumstances of their conviction and present evidence of rehabilitation and job readiness.

Ideal for:

Employers and HR professionals seeking EEOC-compliant hiring practices

Background screening and compliance teams

Organizations aiming to balance workplace safety with fair-chance hiring

Use this form to:

Document individualized assessments for compliance

Support fair and consistent hiring decisions

Strengthen your company’s EEOC defense posture