Agenda Packets - 1996/02/12 - Laserfiche WebLink

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609.377 Malicious punishment of a child, 609.378 Neglect or endangerment of a child, 152.021, subd.1, (4) Controlled substance crime in the 1st degree, 152.022, subd.1, (5) Controlled substance crime in the 2nd degree, 152.022, subd.1, (6) Controlled substance crime in the 2nd degree, 152.023, subd.1, (3) Controlled substance crime in the 3rd degree, 152.023, subd.1, (4) Controlled substance cruAte in the 3rd degree, 152.023, subd.2, (4) Controlled substance crime in the 3rd degree, 152.023, subd.2, (6) Controlled substance crime in the 3rd degree, 152.024, subd.1, (2) Controlled substance crime in the 4th degree, 152.024, subd.1, (3) Controlled substance crime in the 4th degree, 152.024, subd.1, (4) Controlled substance crime in the 4th degree. As the subject of a children's service worker background check, your rights under Minnesota Statutes 299C.62 subd.3 include: • the right to be informed that the City will request a background check for becoming or continuing as an employee or volunteer; • the right to determine whether you have been convicted of any of the above specified crimes; • the right to be informed by the City of the BCA's response to the background report and to obtain a copy of said report from the City; • the right to obtain from the BCA any record that forms the basis for the report; • the right to challenge the accuracy and completeness of any information contained in the report; • the right to be informed by the City whether or not your application of employment or volunteer with the City has been denied because of the BCA's response; and • the right not to be required directly or indirectly to pay the cost of the background check. Please provide the following information: (Signature) (Date) (Print Name: First, Middle, Last) (Date of Birth) (Sex) (Race) Have you ever been known by any other name(s)? ( )YES ( )NO If yes,please give full previous name(s): Please return to City of Mounds View Administration Department