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Background checks according with chapter 17-801 (criminal history, sex offender registry, child abuse/neglect, adult abuse perpetrator, employment history check, and other information) Please submit satisfactory employment history for the following new staff:<br/> XXXXX<br/> <br/> <b>Employment History Instructions</b><br/> <br/> All employees shall complete the form DHS 959A Self Certification of Employment and list the places of employment within the past three (3) years including periods of unemployment, self-employment, and periods of school attendance. For every place of employment listed, complete and sign Part I of the DHS 959 Employment History (EH) form and have the former and/or current employer complete and sign part II.<br/> <br/> Please complete the following information on the form DHS 959A: the date EH mailed and the date EH returned.<br/> <br/> Keep copies of all forms mailed out to former employers. If EH forms are not returned after the first try, mail out the again in a few weeks and log the date of the second mailing. If forms are not returned after the second try, we will accept the written self-certification that two mailed attempts were recorded on the DHS 959A.<br/> <br/> <br/> All of the forms can be found on our website here:<br/> https://humanservices.hawaii.gov/bessd/child-care-program/child-care-licensing/child-care-center-Licensing-forms/<br/>