Background Study Disclosure & Authorization

Why we are asking (Minn. Stat. §13.04; §245C.05). This information submits your DHS background study via NETStudy 2.0 and verifies your identity at fingerprinting. It is private data. After submitting: DHS emails you a consent link, the fingerprint vendor emails you to schedule, and you may not begin direct-contact work until cleared (ch. 245C). Fingerprints are not retained after the check; your DHS photo is retained for identity verification; you may request reconsideration if disqualified (§245C.21).

I certify this information is true and matches my ID. I authorize Bella Mente, Inc. to submit it to DHS via NETStudy 2.0 and authorize DHS to obtain criminal history from the BCA, MN courts, other states, the FBI where required, and prior studies, ongoing while I am affiliated with this agency. I acknowledge the §245C.05 subd. 6 notice; an electronic signature is valid (§245C.05, subd. 9).