ISDS 2001 Chapter : Student Application

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In the section below, if the answer to items 1,2, or 3 is yes, you are required to answer the accompanying questions. N questions will not automatically bar you from employment. Within the past five (5) years, have you been convicted of any law violation? (exclude minor traffic violations. ) 1. if yes, give name and address of employer(s) and reason(s) for separation: & 3. If yes, give law enforcement authority (city police, sheriff, fbi, etc. ) offense, date of offense, place and sentence. No: school, college or university you are now attending. Other school: if you are not presently attending school. Mo year: when were you last registered, when do you plan to return to school, list previous work experience on part 2. I certify that the answers i have given to all questions in this application are true to the best of my knowledge.

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