Get the free Criminal History Disclosure Statement - iusb

School of Nursing Criminal History Disclosure Statement Student Name: (print name) Date of Birth: Health facilities will be prohibited from allowing students from providing care, treatment or services

How to fill out criminal history disclosure statement

Who needs criminal history disclosure statement?

1. Job applicants: Many employers require job applicants to complete a criminal history disclosure statement as part of the application process.
2. Professional license applicants: For certain professional licenses, such as those in healthcare or education, applicants may be required to disclose their criminal history.
3. Volunteers: Organizations that work with vulnerable populations, such as children or the elderly, may require volunteers to complete a criminal history disclosure statement.

How to fill out a criminal history disclosure statement:

1. Read the instructions: Start by carefully reading the instructions provided with the criminal history disclosure statement. Make sure you understand what information needs to be included and how it should be formatted.
2. Gather necessary documents: Before filling out the form, gather any necessary supporting documents, such as court records or arrest records. Having these documents on hand will help ensure the accuracy of the information you provide.
3. Provide personal information: Begin by providing your personal information, such as your full name, date of birth, social security number, and contact information. Make sure to double-check the accuracy of this information as any errors could cause delays or complications.
4. Disclosure of criminal history: In this section, you will need to disclose your criminal history. Carefully read the questions and answer truthfully and to the best of your knowledge. Provide details such as the nature of the offense, the date it occurred, and any other relevant information.
5. Attach necessary documents: If the instructions specify that additional documents need to be attached, make sure to do so. This may include court records, police reports, or any other documents relevant to the offenses you disclosed.
6. Review and sign: Once you have completed filling out the form, review it to ensure all information is accurate and complete. Then, sign and date the form in the designated space. By signing the form, you are acknowledging the truthfulness and accuracy of the information provided.
7. Submitting the form: Follow the instructions provided to submit the form. This may involve submitting it online, mailing it to the appropriate recipient, or providing it in person. Make sure to keep a copy of the completed form for your records.

Remember, it is important to be honest and thorough when filling out a criminal history disclosure statement. Providing false or misleading information can have serious consequences and may result in the rejection of your application or potential legal repercussions.

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What is criminal history disclosure statement?

Criminal history disclosure statement is a form where individuals provide information about any past criminal convictions or charges.

Who is required to file criminal history disclosure statement?

Individuals who are applying for certain jobs or licenses may be required to file a criminal history disclosure statement.

How to fill out criminal history disclosure statement?

To fill out a criminal history disclosure statement, individuals need to provide details about their criminal history, including the nature of the offense, date of conviction, and any sentences imposed.

What is the purpose of criminal history disclosure statement?

The purpose of a criminal history disclosure statement is to allow employers or licensing boards to assess an individual's past criminal record and make informed decisions about their suitability for a job or license.

What information must be reported on criminal history disclosure statement?

On a criminal history disclosure statement, individuals must report any past criminal convictions, charges, or pending cases, as well as details about the offenses and outcomes.