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A. C. T. Police Clergy Teams Empowerment and Safety Volunteer Chaplains H. C. M. A. Harris County Minister s Alliance C. Date MM/DD/YY Arresting Agency Charge Most Recent Arrest Were you convicted YES NO Arresting Agency Charge Court County and State Are you currently on probation or parole Next Most Recent Arrest Signature Date NCIC/TCIC/LCIC/SETCIC WMIN Local LNAM Houston Police Department Type of Identification Card Entry Access Approved Screener s Signature Denied Approval Operator s...

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