Have you ever been disciplined, discharged, or asked to resign from a prior position?
|
Yes___
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No___
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Have you ever resigned from a prior position after a complaint had been received against you or your conduct was under investigation or review?
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Yes___
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No___
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Has your contract in a prior position ever been non-renewed?
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Yes___
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No___
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Have you ever not been nominated for re-employment in a prior position or ever had your nomination for re-employment not be approved?
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Yes___
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No___
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Have you ever been charged with or investigated for sexual abuse or harassment of another person?
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Yes___
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No___
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Have you ever been convicted of a crime (other than a minor traffic offense)?
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Yes___
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No___
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Have you ever entered a plea of guilty or “no contest” (nolo contendere) to any crime (other than a minor traffic offense)?
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Yes___
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No___
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Have you ever had a professional license or certificate suspended or revoked in any state, or have you ever voluntarily surrendered, temporarily or permanently, a professional license or certificate in any state?
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Yes___
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No___
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Has any court ever deferred, filed or dismissed proceedings without a finding of guilty and required that you pay a fine, penalty or court costs and/or imposed a requirement as to your behavior or conduct for a period of time in connection with any crime (other than a minor traffic offense)?
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Yes___
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No___
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