Do you have experience?:
yesno

Are you under any obligation to pay child support?
yesno

Moral Character Determination
Mark the appropriate response to the right of each question

A. Have you ever been arrested?
yesno

B. Have you ever resigned from a position rather than face disciplinary action?
yesno

C. Have you been dismissed from any previous employment?
yesno

D. Have you ever been convicted of any crime (Felony or misdemeanor)?
yesno

E. Are you now under charges for any crime (Felony or misdemeanor)?
yesno

If you answered Yes to any of the questions above, please provide details on the message box below.

AFFIDAVIT
Under the penalties of perjury, I declare that the information provided in this application, including accompanying statements are true, complete and correct.