Background Check Form

I am interested in volunteering at the Michigan Science Center. To ensure the safety and security interests of the visitors of the Science Center, I grant permission for a felony and sexual assault background check. I am also granting the Michigan Science Center my permission to investigate and examine local and state police department records.

I hereby authorize all such sources to release this information. I further waive any written notice that may be required by state or federal law for release of any records relating to me.

In granting this permission, I am assured by the Michigan Science Center that this information will be held in strict confidence.

The Michigan Science Center is a private, non-profit 501(c)(3) organization. The Michigan Science Center is an equal employment opportunity and affirmative action employer.

    If yes, list conviction(s) in box below. Please note a “yes” answer does not automatically disqualify an applicant for volunteer opportunities.


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