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Yes No Upload Resume Upload File (pdf, doc, docx, txt) Uploading… (0%) Browse A file with this name has already been uploaded. This file type isn’t allowed. This file size is too big. Criminal Background Information Please provide complete answers to all questions. If you answer “Yes” to any question, please list all offenses, and for each conviction provide date of conviction and disposition, regardless of the date or location of occurrence. Conviction of a criminal offense is not a bar to employment in all cases. Each case is considered on its merits. Your answers will be verified with appropriate public records. Criminal Offense includes felonies, misdemeanors, summary offenses and convictions resulting from a plea of “nolo contendere” (no contest). Conviction is an adjudication of guilt and includes determinations before a court, a district justice or a magistrate, which results in a fine, sentence or probation. You may omit: minor traffic violations, offenses committed before your 18th birthday which were adjudicated in juvenile court or under a Youth Offender Law, and any convictions which have been expunged by a court or for which you successfully completed an Accelerated Rehabilitative Disposition program. Have you ever been convicted of a crime? Yes No Have you ever forfeited bond or collateral in connection with a criminal offense? Yes No Within the last five years, have you been fired from any job for any reason? Yes No Have you ever been professionally disciplined in any state? Yes No Are you subject to any visa or immigration status, which would prevent lawful employment? Yes No If you answered "Yes" to any of the above questions, please provide a detailed explanation on a separate sheet of paper, including dates, and attach it to this application. Please print and sign your name on the sheet, and include your social security number. Enter N/A if you answered No to all the previous questions. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I authorize Matheaze Tutors to conduct background check on me and verify all information presented in this application. Continue Author Matheaze Tutors View all posts
