ADVERSE ACTION LETTER

FOR SECURITY OR SAFETY-SENSITIVE POSITION

Current Date

PERSONAL AND CONFIDENTIAL

Name of Applicant/Employee

Street Address

City, State Zip Code

Dear Applicant/Employee:

We wish to advise you that we are unable to continue to consider you as a valid candidate for the Job Title position – Job Opening ID: Job # in the Department Name at Arizona State University. This action was influenced by information contained in a criminal history record check produced through a check of your fingerprints by the Arizona Department of Public Safety and the Federal Bureau of Investigation.

By letter dated [insert date of pre-adverse action letter], we provided you with a copy of the criminal history record and challenge contact information for the two law enforcement agencies that conducted the criminal history record check. You have the right to request a copy of the record directly from either law enforcement agency.

Sincerely,

[Your Name]

[Your Title]

Enclosure: Contact Information Sheet

Revised 7.14.09