Survey: Employment and Application Experiences with A Criminal Record
ABOUT THIS SURVEY:
We at Root & Rebound want to support YOU in getting a job you want. Many employers unfairly consider records in the hiring process -- and their consideration may even be illegal under state law.
We created this survey to better understand your experience in applying for jobs in order for us to support you and others with criminal records as you apply for employment. We are particularly interested in hearing about your job seeking experience(s) since January 2018 when the Fair Chance Act -- a state law with stronger protections to people seeking employment with records -- went into effect.
After you fill out this survey, we may reach out to you for additional information about your experience. All of this information is CONFIDENTIAL and stays within Root & Rebound. We will not share information about you without your permission.
After completing this survey, you can email any additional questions, or documentation (copies or photos of an application(s) or emails from employers) to Rashida Harmon, Bay Area Senior Staff Attorney at
Rharmon@rootandrebound.org
.
THANK YOU for your willingness to share your experience so we can better support you and others with conviction histories in the job seeking process!
* Required
Name
*
Your answer
Phone Number
*
Your answer
Email Address
Your answer
In the past two years, have you been denied a job or an employment opportunity due to your criminal record?
*
Yes
No
Maybe
Please list the name(s) of any company or companies that have not hired you due to your record since January 2018.
*
Your answer
In the past two years, have you tried applying for a job that had a question on the application about your conviction history? If so, please include the name of the employer(s).
*
Your answer
In the past two years, have you been asked about your criminal background during a job interview? If so, please include the name of the employer(s) and describe what happened.
*
Your answer
In the past two years, have you been given an offer of employment that was taken back once the employer got your background check? If so, please include the name of the employer(s) and describe what happened.
*
Your answer
In the past two years, have you been fired due to your criminal background? If so, please include the name of the employer(s), and describe what happened.
*
Your answer
Please tell us more about the experience or experiences you had with the above-mentioned employer(s), and provide any additional information about how the employer(s) unfairly considered your record during the job application process.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Root & Rebound.
Report Abuse
Forms
