Schedule Applicant Polygraph Test | Central Polygraph Service

Instructions – Please Read Very Carefully

To request an appointment slot for your upcoming applicant screening polygraph test, please complete all the fields in the form below and press the SUBMIT button when done. This is your request for a date and time for your upcoming applicant screening polygraph test and is not a confirmation for an actual polygraph test appointment slot. Every effort will be made to accommodate your requested appointment date and time of the polygraph test per scheduling availability. We will contact you within (1) business day of receipt of the below information to confirm all details via e-mail. Only once you receive an email with the confirmation number with a specific test date and time is your polygraph test actually scheduled and confirmed. Please be advised that at times e-mail communications from our company may be in your spam or junk mail folder. Applicants are strongly advised to check their spam or junk mail folders from a desktop computer at least twice a day once they start this process for important e-mail communications and instructions from Central Polygraph Service. All inquiries should be directed to 847-919-0027 Ext 707.

APPLICANT INFORMATION (INDIVIDUAL TAKING POLYGRAPH TEST)

Full Name of Applicant: *

Date of Birth: *

Cell Phone Number: *

E-Mail Address: *

Confirm E-Mail Address: *

Street Address: *

City: *

State: *

Zip Code: *

Agency You Are Applying To: *

Position You Are Applying: *

Requested Date of Polygraph: *

Requested Time of Polygraph:
(Select From List)*

Special Notes/Comments:

By pressing the submit button above, I confirm I have read, understood and agree to Central Polygraph Service Limited's Terms and Conditions of Service.