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Please Check All That Apply:
At least 18yrs of age?
Do you have a valid Drivers License?
Do you have your fingerprint clearance card?
Do you have a current CPR / First aid card?
Do you have a current Prevention and Support Certificate?
Do you have the current Article 9 Certification?
Are you able to lift 30 - 50 lbs?
Date of Birth
Legal History (Please Check All That Apply):
Have you ever been convicted of a felony?
Do you have any pending criminal charges?
Do you have any pending driving charges?
Are you legally authorized to work in The United States?
Have you ever been investigated by the Department of Child Safety or Adult Protective Services?
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