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Criminal Background Release Form

The admission application requires applicants to report all criminal convictions other than minor traffic violations to assess the suitability of such applicants to the University community and identify any special conditions for enrollment.

This form is to certify that the following is a complete list of my convicted criminal offenses.

By electronically signing the Criminal Background Release Form, I certify that the below-listed information is a complete list of my criminal offenses. I authorize the Morehead State Police Department to review and verify my criminal history and release the findings to Enrollment Services, Office of Admissions.

Complete the Background Release Form

Please note that submission of this form constitutes an electronic signature, which is used in place of your handwritten signature. Your electronic signature is consent that all information provided is correct and that you agree to the terms.

Applicant authorization expires six months after receipt of the release form. 

If you have concerns about the privacy of your information, you may print this form and send it to:

Morehead State University
Office of Enrollment Services
ATTN: Megan Duff, Associate Director of Admissions/Technical Support
100 Admissions Center
Morehead, KY 40351

Contact Enrollment Services

Office of Enrollment Services

121 E. Second St.
Morehead, KY 40351

PHONE: 606-783-2000
PHONE: 800-585-6781
FAX: 606-783-5038

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