Employment Background Check Form

Employment Background Check Consent Form

Non-Profit Account # T189271383

The following named individual has made application with this agency for:
Have you lived outside of Minnesota in the last 5 Years?
I authorize the Minnesota Bureau of Criminal Apprehension to disclose all criminal history record information to Aitkin County CARE, Inc. for the purpose of with this agency. The expiration of this authorization shall be one year from the date of my signature.

Aitkin County CARE, Inc
20 Third Street NE
Aitkin, MN 56431

All rights reserved Aitkin County CARE, Inc

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