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MSU EXTENSION CRIMINAL HISTORY CHECK FORM To protect your privacy, this form will be seen only by Michigan State University Extension staff. First Name Middle Name Last Name Previous, married and/or
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MSU Extension Criminal History is a form used to report any criminal history information by individuals.
Individuals who are applying for or currently participating in programs or activities through MSU Extension may be required to file MSU Extension Criminal History.
The MSU Extension Criminal History form should be completed accurately and truthfully, providing all requested information about any criminal history.
The purpose of MSU Extension Criminal History is to ensure the safety and security of participants in MSU Extension programs by identifying any potential risks.
All criminal convictions, pending charges, arrests, and any other relevant criminal history information must be reported on the MSU Extension Criminal History form.
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