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Additional Questions

In an effort to provide you with the very best service possible, please answer the following questions. We use this information to help you with your life and career plans. All information will remain confidential. Your cooperation will be appropriated.

Have you ever been convicted of a crime?

Yes    No

 

If you were convicted, was it a misdemeanor or a felony?

Response:

 

Are you a U.S. Citizen?

Yes    No

 

Are there any special situations or circumstances that we should be aware of that would prevent you from participating in all sessions?

Yes    No

 

If yes, please describe:

 

Comments:

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