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Conviction Disclosure Form

Under the School Safety Legislation enacted in 2005 and amended in 2017, schools are required to report to the Michigan Department of Education (MDE) if they become aware of an individual who has been convicted of a felony or an enumerated offense and is an employee of the district.

Section 1230d

(1) If a person who is employed in any capacity by a school district, intermediate school district, public school academy, or nonpublic school; who has applied for a position with a school district, intermediate school district, public school academy, or nonpublic school and has had an initial criminal history check under section 1230 or criminal records check under section 1230a; or who is regularly and continuously working under contract in a school district, intermediate school district, public school academy, or nonpublic school, is charged with a crime listed in section 1535a(1) or 1539b(1) or a violation of a substantially similar law of another state, a political subdivision of this state or another state, or of the United States, the person shall report to the department and to the school district, intermediate school district, public school academy, or nonpublic school that he or she has been charged with the crime. All of the following apply to this reporting requirement:

(a) The person shall make the report on a form prescribed by the department.

(b) The person shall submit the report to the department and to the superintendent of the school district or intermediate school district or chief administrator of the public school academy or nonpublic school.

(c) The person shall submit the report within 3 business days after being arraigned for the crime.

 

Attached is a copy of the Conviction Disclosure form provided by MDE.  

 

Any questions you have regarding this Legislation or the Disclosure Form may be directed to Denise Kurtze at 989-352-6226 or [email protected]. 

 

All disclosures will remain confidential and kept in a locked file cabinet at Central Office.  Disclosure forms are only shared as directed under Legislation.