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Get Fingerprint Request Form

Phone 734-246-4600 Fax 734-283-6791 Email hr sgate. k12. mi. us 13305 Reeck Rd. Suite 100 Southgate MI 48195 Human Resources Department Fingerprint Request Form Complete and send to Mary Hildebrandt HR Coordinator via email hr sgate. k12. mi. us or by fax Call Rebecca at the Records Bureau of the SGPD to make your fingerprint appointment 734-258-3047. Appointment must be made no sooner than two days after Human Resources receives this form* Be sure to take your Driver s License or Picture ID with you. Position Name Last First Full Middle Name Address Street City Zip Phone Place of Birth State Date of Birth Gender Race Height Hair Color Eye Color For Office Use AGENCY ID 7266P Fingerprint Type Requested SE School Employment mcl 380. 1230 54 Date Fingerprinted Type of Picture ID Presented THIS INDIVIDUAL IS REQUIRED TO PAY 65. 25 TO THE SOUTHGATE POLICE DEPARTMENT Fingerprint form they pay. k12. mi. us or by fax Call Rebecca at the Records Bureau of the SGPD to make your fingerprint appointment 734-258-3047. Appointment must be made no sooner than two days after Human Resources receives this form* Be sure to take your Driver s License or Picture ID with you. Appointment must be made no sooner than two days after Human Resources receives this form* Be sure to take your Driver s License or Picture ID with you. Position Name Last First Full Middle Name Address Street City Zip Phone Place of Birth State Date of Birth Gender Race Height Hair Color Eye Color For Office Use AGENCY ID 7266P Fingerprint Type Requested SE School Employment mcl 380. Position Name Last First Full Middle Name Address Street City Zip Phone Place of Birth State Date of Birth Gender Race Height Hair Color Eye Color For Office Use AGENCY ID 7266P Fingerprint Type Requested SE School Employment mcl 380. 1230 54 Date Fingerprinted Type of Picture ID Presented THIS INDIVIDUAL IS REQUIRED TO PAY 65. 25 TO THE SOUTHGATE POLICE DEPARTMENT Fingerprint form they pay. k12. mi. us or by fax Call Rebecca at the Records Bureau of the SGPD to make your fingerprint appointment 734-258-3047. Appointment must be made no sooner than two days after Human Resources receives this form* Be sure to take your Driver s License or Picture ID with you. Position Name Last First Full Middle Name Address Street City Zip Phone Place of Birth State Date of Birth Gender Race Height Hair Color Eye Color For Office Use AGENCY ID 7266P Fingerprint Type Requested SE School Employment mcl 380. Appointment must be made no sooner than two days after Human Resources receives this form* Be sure to take your Driver s License or Picture ID with you. Position Name Last First Full Middle Name Address Street City Zip Phone Place of Birth State Date of Birth Gender Race Height Hair Color Eye Color For Office Use AGENCY ID 7266P Fingerprint Type Requested SE School Employment mcl 380. 1230 54 Date Fingerprinted Type of Picture ID Presented THIS INDIVIDUAL IS REQUIRED TO PAY 65. 25 TO THE SOUTHGATE POLICE DEPARTMENT Fingerprint form they pay.

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