Interview Waiver Program Drop-Off Checklist Form
Please complete this checklist for each drop-off/check-in related to the Interview Waiver Program.
Full Name of Participant
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Affiliation (e.g., Student or Employee ID Number)
*
Drop-Off Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Drop-Off Time
*
Hour Minutes
AM
PM
AM/PM Option
Select all items/documents included in this drop-off
*
Completed Interview Waiver Application
Photo Identification Copy
Supporting Documents
Program-Specific Forms
Other
Are all required materials present?
*
Yes
No
If any required materials are missing, please specify
Staff Member Completing Check-In
*
Additional Staff Notes (if any)
Submit Checklist
Should be Empty: