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Have you ever been convicted or entered a please of "no contest" to any criminal activity involving violence against a person; child abuse or neglect; possession, sale, or distribution of illegal drugs, sexual misconduct or gross irresponsibility or disregard for the safety of others?

By submitting this form I hereby certify that this information is true and complete to the best of my knowledge. I also authorize a complete background check, including verification of education, employment, reference check, and criminal background check.