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Mississippi State Board Of Physical Therapy sboyette@msbpt.ms.gov6013522918Request For Determination: Criminal History Disclosure The Fresh Start Act, Section 73771 et seq., Miss. Code Annotated,

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1. To fill out the Mississippi State Board of, follow these steps:
2. Obtain the official application form from the Mississippi State Board website or office.
3. Read the instructions carefully and gather all the necessary documents and information.
4. Fill out the personal information section, including your name, address, contact details, and any relevant identification numbers.
5. Provide details about your education and professional background. Include information about any degrees, licenses, or certifications you hold.
6. Complete the section on work experience, listing your previous employment history and job duties.
7. Attach any supporting documents or certificates required, such as transcripts or copies of licenses.
8. Review the completed form to ensure all information is accurate and legible.
9. Sign and date the application form.
10. Submit the filled-out form, along with any required fees, to the Mississippi State Board office either in person or by mail.
11. Wait for the board to review and process your application. You may be contacted for additional information or documentation as needed.
12. Once your application is approved, you will receive your Mississippi State Board of as applicable.

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