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Minnesota State University, Mankato
Department of Social Work
Bachelor of Science in Social Work Program
SOWK 312 Junior Field Experience
Minnesota Criminal Background Check Signature Page
I __________________________________ (print name) have read and understand the
Minnesota State University, Mankato, BSSW Program criminal background check policy. I
understand that I will not be able to begin my SW 312 Junior Field Experience until the
Minnesota Criminal Background Check has been received by the BSSW Program.
_________________________________________________ Date:_________________
Student signature
Submit this signature page with your Application to SW 312
Revised 8-31-11