Get Nemcsa Disclosure And Authorization - Ferris State University - Ferris

Filling out the NEMCSA Disclosure And Authorization form is an essential step in the application process for employment or volunteering with the Northeast Michigan Community Service Agency. This guide provides clear instructions to help you complete the form online with confidence.

Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to access the NEMCSA Disclosure And Authorization form and open it in your preferred online editor.
2. Select the appropriate box indicating your role: Employee, Volunteer, or Parent. This information helps the organization identify the nature of your relationship with NEMCSA.
3. In the Supervisor/Site/Teacher field, input the name of the supervisor or site where you will be working. This provides context for your application.
4. Read the Disclosure section carefully. This outlines the purpose of obtaining a criminal history report. Acknowledge your understanding of this disclosure before proceeding.
5. In the Authorization section, please print your full name in the designated space, sign to authorize NEMCSA to conduct the criminal history report, and date your signature.
6. If you are a parent or legal guardian signing on behalf of someone else, be sure to include your signature and date under the Parent/Legal Guardian Signature section.
7. Complete the personal information section with your details, including your name (last, first, middle), address (street, city, county, state, zip), and phone number.
8. In the Prior Addresses section, list all previous addresses to provide comprehensive identification information. Be thorough yet concise in your entries.
9. Indicate your race and sex by selecting the appropriate checkboxes provided. This demographic information assists in compliance and data collection requirements.
10. Fill in the Date of Birth and Social Security Number fields with accurate information to ensure the processing of your criminal history report.
11. Input your Driver License Number and the state it was issued in, along with any previous Driver License information if applicable.
12. Lastly, provide any other names you have previously used, including aliases, maiden, or married names to complete your identification thoroughly.
13. After ensuring all fields are completed accurately, save your changes, and choose to download, print, or share the form as needed.

Complete your NEMCSA Disclosure And Authorization form online today to advance your application process.