Atch_7_-_Background_Questionnaire.doc
DOC document 24 KB Posted
- Solicitation number
- FA4887-16-Q-0006
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Background Questionnaire
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NOMINEE
Criminal History Background Check Questionnaire
1. Please answer the following Questions by Circling Yes or No:
a. Have you ever been arrested for or charged with a crime involving a child?
YES NO
b. Have you ever been asked to resign because of or have been decertified for a sexual offense?
YES NO
2. Under the penalty of perjury I declare that this information is true and hereby authorize a background check using all applicable agencies:
3. Signature:
Date:
Printed Name
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