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DISCLOSURE REGARDING BACKGROUND INVESTIGATION IMPORTANT PLEASE READ CAREFULLY BEFORE SIGNING AUTHORIZATION McLeod Health (the Company) may obtain information about you for employment/volunteer or
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Obtain the volunteer-combined disclosure form from the organization or employer that requires it.
02
Read through the form carefully and make sure you understand all the information being asked for.
03
Fill out all the necessary personal information, such as name, address, phone number, and social security number.
04
Provide information on any criminal history or past legal issues that may be relevant to the volunteer position.
05
Sign and date the form to certify that all the information provided is true and accurate.
06
Return the completed form to the organization or employer as instructed.

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Individuals who are applying for volunteer positions that require a background check or disclosure of criminal history.

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