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This information must be accurately reported because it will be used as a basis for a detailed investigation of your background. All questions must be answered. If you need additional space please use Section 7: Supplemental Information. If the question does not apply to you, place "N/A" in the box. The applicant must be the person who completes this form. NOTE: Failing to disclose all information will result in an automatic applicant rejection.
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* If volunteer is under 18 years of age a parent's or guardian's signature must also be provided
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
If you answer "Yes" to any of the following questions, please provide a full explanation in Section 7: Supplemental Information. Explanations MUST include dates. Please Note: Answering "Yes" will not necessarily disqualify you from the application process.
This section is to be used to write a detailed explanation to any of the questions on this form. Please include the section number with all explanations.
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