Self-Disclosure of Criminal Background

(Disclosure of Criminal Background in Accordance with USU Policy 386)

Utah State University promotes a safe environment for its students and staff. As an employee of Utah State University in a non-security sensitive position, by submitting this Self Disclosure of Criminal Background, if I am appointed to a position at USU, I agree to conform to University rules.

I self-disclose*

A-Number*

First Name*

Last Name*

Email*

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Phone

Verification*