Atch_5_-_Solicitation_-__Background_Questionnaire.doc

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Attached to
Chapel - Protestant Traditional Service Musician
Solicitation number
FA4887-18-Q-JB-05
Issued by

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Atch 5 - 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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