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Are you 18 years of age or older? (If you are hired, you may be required to submit proof of age) YesNo

Do you have a valid driver's license? YesNo

Have you had your driver's license suspended or revoked in the last 3 years? YesNo

If yes, give details:

Have you ever been convicted of a crime? YesNo

If yes, give details:

Have you ever been arrested for a felony? YesNo

If yes, give details: