Have you ever been convicted of; received a sentence for; pled nolo contendere (no contest) to; been placed on probation, fined, or
entered a pretrial intervention program for; or had adjudication withheld by any judicial or quasi-judicial body for a crime, other than a minor traffic violation? (Any criminal record not disclosed by you may be considered falsification of this application, which may result in revocation of your employment offer or termination of your employment. Also, in accordance with any state or federal regulations, you may be required to provide copies of any criminal records. Answering "yes" to this question is not an automatic bar to employment.)
| *Connecticut Candidates: |
- Applicants do not have to disclose erased records of arrests, criminal charges, or convictions;
- Applicants with erased criminal records can swear under oath that they have never been arrested; and
- Criminal records eligible for erasure include delinquency determinations, findings as a child in a family with service needs, youthful offender
adjudications, dismissed or nolled criminal charges, criminal charges where the accused was found not guilty or received an absolute pardon,
and any other conviction where erasure is allowed by law.
|
| *Illinois Candidates: |
Applicants do not have to disclose sealed or expunged conviction or arrest records. |
| *Michigan Candidates: |
For any misdemeanors, list only those that resulted in convictions. |
| *Nevada Candidates: |
List all felony convictions and any misdemeanor convictions that occurred in the past 10 years and that resulted in imprisonment. |
| *Rhode Island Candidates: |
List convictions only. |
| *Utah Candidates: |
For any convictions, list only felonies. |
| *Washington State Candidates: |
List any convictions or terms of imprisonment within the past 10 years only. |
Employment History (Begin with most recent)
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