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ID Permanent Home Address Street City/State/Zip Phone Academic Level FR SO JR SR GR Check if Dec. 2017 graduate Fall 2017 Spring 2018 WERE YOU EVER CONVICTED OF A CRIMINAL OFFENSE YES NO If you answer Yes please provide a written explanation. CRIMINAL HISTORY CRIMINAL OFFENSE includes felonies and misdemeanor offenses. CONVICTION is an adjudication of guilt and includes determinations before a court a district justice or magistrate and pleas of nolo contendre no contest that result in a...
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The purpose of the form is to gather necessary information from applicants to determine their suitability for the position.
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