Online Criminal Background Check Release Form

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Criminal Background Check Policy
The National Sports Center Foundation requires criminal background checks of all employees, independent
contractors and volunteers.  Employment, independent contratorship, and volunteering with the National Sports
Center Foundation are subject to a determination from a bonafide background criminal check that an individual's
criminal history does not preclude the individual from employment, independent contractorship, or volunteering
pursuant to the policies of the National Sports Center Foundation.

Required information is denoted with a red asterisk (*).
Your form cannot be submitted without providing information for these fields.
Individual's Information
First Name: *
Middle Name:
Last Name: *
Former Name(s) used:
Address 1: *
Address 2:
City: *
State/Province: *
Zip/Postal Code: *
Primary: ( )   -
Secondary: ( )   -
Email Address:
Date of Birth: *    
Social Security Number: * - -
How many years have you lived in Minnesota:
Previous State(s) lived in: